Individual
JOSSELYNN ELIZABETH MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1706 ALICE ST, WAYCROSS, GA 31501-5216
(912) 285-1140
(912) 285-1125
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
03/04/2026
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