MEDICARE: MS. ELIZABETH SMITH ZALIAGIRIS

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
1	101Y00000X	Counselor	15186	NC

General Provider Information

NPI Number	:	1457932931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH SMITH ZALIAGIRIS

Provider Business Mailing Address
First Line	:	3475 DUCK POND DR NE
Second Line	:
City	:	CONOVER
State	:	NC
Zip	:	28613-9458
Country	:	US
Telephone Number	:	828-228-9972
Fax Number	:

Provider Business Practice Location Address
First Line	:	74 8TH ST SE STE 101
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-1121
Country	:	US
Telephone Number	:	828-228-9972
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	04/16/2021

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