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Jelicka Mallory
NPI 1285524967 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5401 Gunboat Dr # 17
Columbus, GA 31907 - Phone
- (706) 221-2626
Registry record
- Primary taxonomy
- Prosthetist
224P00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia