| Doctor Name: | LIZA TANGHAL |
| NPI Number: | 1093719072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA C |
| License Number: | 003108 |
| Business Practice Address: | 1700 Tree Lane Rd Ste 320 Snellville, GA - 300782211 |
| Business Phone Number: | 7709856233 |
| Business Fax Number: | 7709856864 |
| Mailing Address: | 1700 Tree Lane Rd, Ste 320 SNELLVILLE |
| State: | GA |
| Postal Code: | 300782211 |
| Phone Number: | 7709856233 |
| Fax Number: | 7709856864 |
| NPI Enumeration Date: | 06/08/2005 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 003108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |