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NPI Code Detail

MEDICARE: ELIZABETH TARGONSKI

MEDICARE: ELIZABETH TARGONSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1073406476
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH TARGONSKI
Provider Business Mailing Address
First Line : 1477 N DONAHUE DR APT 2203
Second Line :
City : AUBURN
State : AL
Zip : 36830-0224
Country : US
Telephone Number : 717-817-6093
Fax Number :
Provider Business Practice Location Address
First Line : 3750 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1385
Country : US
Telephone Number : 717-817-6093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/02/2025

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Directions to “ ELIZABETH TARGONSKI ” Practice Location

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