JACK R EADES MD

Dr JACK R EADES MD is a male medical professional, specializing in Allergy/immunology. He graduated in 1992 from Mercer University School Of Medicine.

Contact

1000 TOWNE CTR BLVD
SUITE 305
POOLER
GA
313224068

Tel:

JACK R EADES MD Information

Npi 1992890727
Pac Id 2567428352
Professional Enrollment Id I20041203000272
Last Name EADES
First Name JACK
Middle Name R
Suffix
Gender M
Credential MD
Medical School Name MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1992
Primary Specialty ALLERGY/IMMUNOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1000 TOWNE CTR BLVD
Line 2 Street Address SUITE 305
Marker Of Address Line 2 Suppression
City POOLER
State GA
Zip Code 313224068
Phone Number
Hospital Affiliation Ccn 1 110024
Hospital Affiliation Lbn 1 CANDLER HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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