Individual
ELIZABETH R TAGHECHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
699 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-1116
(770) 422-8505
(770) 424-7449
Mailing address
699 CHURCH ST NE, SUITE 220, MARIETTA, GA 30060-1116
(770) 422-8505
(770) 424-7449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
051190
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00960638A
—
GA
05
—
00960638B
—
GA
05
—
00960638C
—
GA
01
—
10051338
AMERIGROUP
GA
01
—
288877
BCBS
GA
01
—
324013
WELLCARE
GA
01
—
7975393
AETNA
GA
01
—
9027424-004
CIGNA
GA
Enumeration date
02/21/2006
Last updated
02/16/2017
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