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

Jerry C Mallory Jr.

Individual provider Military Health Care Provider · NPI 1447702154

Jerry C Mallory Jr. is a Military Health Care Provider in APO, Armed Forces Americas. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

4018 Bayard 44121
APO, AA 44121
Phone: (216) 533-0094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X (OH)

Record details

NPI number1447702154
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 28, 2016
Last updated in NPPESOctober 28, 2016
Mailing address4018 Bayard, 4018 Bayard, Cleveland, OH 44121

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