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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY C MALLORY JR.

Active Sole Proprietor

JERRY C MALLORY JR. is a Military Health Care Provider healthcare provider located in APO, APO/FPO Americas. NPI 1447702154 is currently active in the NPPES registry. Verify at CMS.

Military Health Care Provider · APO, AA

Registration Details

NPI Number
1447702154
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2016 (9.7538161915121 yrs)
Last Updated
Oct 28, 2016
Sole Proprietor
Yes

Practice Information

Address
4018 BAYARD 44121
APO, AA, 44121
Browse AA providers · Browse ZIP 44121
Phone
2165330094
Primary Specialty
Military Health Care Provider
171000000X

Other Military Health Care Provider Providers in APO, AA

Name Credential NPI
DR. HOWARD COLMUS GAINES III PHARMD 1154089969
DR. MICHAEL GRANT LISKA MD 1891437307
GENESIS JAMES 1083318935
TRAVIS TUCK DO 1396599106
DEVIN TAYLOR RIVET ATP - SOCM 1053263319
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.