NPI 1285524967

Jelicka M Mallory

Practitioner Prosthetist Columbus, GA

Practice location

Address: 5401 Gunboat Dr # 17, Columbus, GA 31907-1498
Phone: (706) 221-2626

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1285524967
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2025
Record last updated: 7 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.