Healthcare Provider Details

I. General information

NPI: 1225818586
Provider Name (Legal Business Name): ELIZABETH A ALIAGA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2023
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5041 DALLAS HWY # 500
POWDER SPRINGS GA
30127-6458
US

IV. Provider business mailing address

1379 LOCHSTONE DR
POWDER SPRINGS GA
30127-7892
US

V. Phone/Fax

Practice location:
  • Phone: 770-919-7171
  • Fax: 770-218-0341
Mailing address:
  • Phone: 305-332-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR011091
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: