JOHN FITZGERALD MALLY JR.
NPI 1487477956
Peer Specialist in Clayton, GA
- Individual
- Male
- Peer Specialist
About JOHN MALLY
This page provides the complete NPI Profile along with additional information for John Mally, a provider established in Clayton, Georgia with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1487477956 assigned on November 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1487477956 Verify this NPI
- Provider Name
- JOHN FITZGERALD MALLY JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 151 N MAIN ST CLAYTON, GA 30525
- Location Phone
- (706) 212-0349
- Mailing Address
- PO BOX 314 CLAYTON, GA 30525
- Mailing Phone
- (706) 212-0349
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-04-2024
- Last Update Date
- 11-04-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487477956, enumerated as an "individual" on November 04, 2024.
The provider is located at 151 N MAIN ST CLAYTON, GA 30525 and the phone number is (706) 212-0349.
Peer Specialist with taxonomy code 175T00000X.
