Individual
MALLORY PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
22 HAYES ST, TOCCOA, GA 30577-2696
(706) 886-3883
Mailing address
305 IDLE PINES DR, PERRY, GA 31069-2338
(478) 972-8480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016922
GA
Other
Enumeration date
11/14/2023
Last updated
03/10/2025
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