Individual
JOSE ESTEBAN MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(912) 368-4131
Mailing address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(912) 368-4131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004098
GA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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