Dr. JACK R EADES MD
Individual Provider (NPI-1)
Active
Allergy & Immunology
Provider Information
- NPI Number
1992890727- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 6501 PEAKE RD STE 1000, MACON, GA, 312108052
- Phone
- (478) 607-2514
- Fax
- (478) 607-2513
Specialties & Taxonomies
Allergy & Immunology
License: SC #20053
Allergy & Immunology
Primary License: GA #043360