Individual
JOHN MAGRUDER READ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2362 MAIN ST, TUCKER, GA 30084-4477
(770) 938-1266
(770) 939-4093
Mailing address
PO BOX 769609, ROSWELL, GA 30076-8224
(770) 938-1266
(770) 939-4093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17722
GA
208D00000X
General Practice Physician
17722
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000088525J
—
GA
01
—
1609816123
GROUP NPI GEORGIA CLINIC PC
GA
Enumeration date
08/18/2006
Last updated
05/05/2016
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