Individual
LIZA TANGHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1700 TREE LANE RD, STE 320, SNELLVILLE, GA 30078-2211
(770) 985-6233
(770) 985-6864
Mailing address
1700 TREE LANE RD, STE 320, SNELLVILLE, GA 30078-2211
(770) 985-6233
(770) 985-6864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003108
GA
Other
Enumeration date
06/08/2005
Last updated
05/19/2016
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