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

John Simons De Mailly, ATC

Individual provider Athletic Trainer · NPI 1720343007

John Simons De Mailly, ATC is an Athletic Trainer in Lexington, South Carolina. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

604 Dawsons Park Way
Lexington, SC 29072-1929
Phone: (803) 917-0571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1720343007
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 12, 2012
Last updated in NPPESJanuary 27, 2016
Mailing address604 Dawsons Park Way, Lexington, SC 29072-1929

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