Individual
JACLYN SLIGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 GRACERN RD STE 120, COLUMBIA, SC 29210-7657
(803) 296-8765
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 434-4062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36892
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368925
—
SC
Enumeration date
06/04/2014
Last updated
05/13/2019
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