Individual
DR. SHAYA TAGHECHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
790 CHURCH ST NE, SUITE 430, MARIETTA, GA 30060-7282
(770) 429-9100
(770) 429-1391
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
65188
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110961A
—
GA
Enumeration date
11/05/2010
Last updated
03/07/2023
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