Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jelicka M Mallory

Individual provider Prosthetist · NPI 1285524967

Jelicka M Mallory is a Prosthetist in Columbus, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

5401 Gunboat Dr # 17
Columbus, GA 31907-1498
Phone: (706) 221-2626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X (GA)

Record details

NPI number1285524967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 6, 2025
Mailing address5401 Gunboat Dr # 17, Columbus, GA 31907-1498

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