Jacob Chandler Fogarty
Jacob Chandler Fogarty is a Physical Therapist in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2022.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
124 3rd StMacon, GA 31201-3404
Phone: (478) 662-0156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT014840 (GA) |
|---|
Record details
| NPI number | 1487389052 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 19, 2022 |
| Last updated in NPPES | July 19, 2022 |
| Certification date | July 19, 2022 |
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