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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK R EADES, MD

Active

DR. JACK R EADES, MD is a Allergy & Immunology healthcare provider located in MACON, Georgia. NPI 1992890727 is currently active in the NPPES registry. Verify at CMS.

Allergy & Immunology · MACON, GA

Registration Details

NPI Number
1992890727
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.67360842271 yrs)
Last Updated
May 17, 2024
Licenses
20053 (SC)
043360 (GA)

Practice Information

Address
6501 PEAKE RD STE 1000
MACON, GA, 312108052
Browse GA providers · Browse ZIP 31210
Phone
4786072514
Fax
4786072513
Primary Specialty
Allergy & Immunology
207K00000X
Additional Specialty
Allergy & Immunology

Other Allergy & Immunology Providers in MACON, GA

Name Credential NPI
DR. RAHUL KUMAR VANGALA M.D. 1366499246
DR. JEFFREY W. LANGFORD M.D. 1346360690
MRS. KAYLA SUE WHITLEY DNP, APRN, FNP-C 1952050312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.