NPI 1487477956
John Fitzgerald Mally
Practice location
- Address
- 151 N Main St, Clayton, GA 30525-4244
- Phone
- (706) 212-0349
- Mailing address
- PO Box 314, Clayton, GA 30525-0008
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1487477956
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2024
- Record last updated
- 4 Nov 2024
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.