JACOB CHANDLER FOGARTY

MACON, GA
NPI1487389052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT014840)
Enumeration Date2022-07-19
Last Update Date2022-07-19
Business Address
JACOB CHANDLER FOGARTY
124 3RD ST
MACON, GA 31201-3404
Phone number: 478-662-0156
Mailing Address
JACOB CHANDLER FOGARTY
2 MASHBURN ST STE 102
HAWKINSVILLE, GA 31036-4961
Phone number: 478-488-3359
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