JESSE MARK DIVAKAR

MACON, GA
NPI1255888244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT012644)
Enumeration Date2016-09-07
Last Update Date2026-02-27
Business Address
Mr. JESSE MARK DIVAKAR DPT
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
Mailing Address
Mr. JESSE MARK DIVAKAR DPT
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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