SOUTHERN ALLERGY AND ASTHMA PC
Osteopathic Medicine at Paulsen St, Savannah, GA

License number
Georgia 043360
Category
Osteopathic Medicine
Type
Allergy & Immunology
License number
Georgia 20053
Category
Osteopathic Medicine
Type
Allergy & Immunology
Owner
Name: JACK R EADES MD
Title: OWNER PHYSICIAN
Phone: (912) 303-9355
Address
Address
5223 Paulsen St, Savannah, GA 31405
National Provider ID: 1467547281
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTHERN ALLERGY AND ASTHMA, PC

5223 Paulsen St, Savannah, GA 31405

Registration:
Jan 27, 1999
State ID:
K904221
Business type:
Domestic Professional Corporation
CEO:
R Jack Eades (CEO), 5223 Paulsen St, Savannah, GA 31405 (Physical)
Agent:
Donald E Dyches,32 E Montgomery Cross Rd, Savannah, GA (Physical)

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