Individual
MACKENZIE JAYNE SLOAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Mailing address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
97920
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12763
GA RESIDENCY TRAINING PROGRAM
GA
Enumeration date
04/05/2021
Last updated
11/14/2023
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