Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANEKKIA BLACK, MD
ActiveSHANEKKIA BLACK, MD is a Internal Medicine healthcare provider located in AUSTELL, Georgia. NPI 1164928545 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · AUSTELL, GA
Registration Details
- NPI Number
- 1164928545
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 4, 2018 (8.3185686777419 yrs)
- Last Updated
- Apr 19, 2023
- License
-
89381 (GA)
Practice Information
- Address
-
1605 MULKEY RD STE 220AUSTELL, GA, 301061127Browse GA providers · Browse ZIP 30106
- Phone
- 4709563760
- Fax
- 6783981930
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in AUSTELL, GA
| Name | Credential | NPI |
|---|---|---|
| MR. JUAN CARLOS FRANCO | MD | 1619966116 |
| DR. ELLIS L MALONE | MD | 1326037821 |
| DR. CLIFFORD PICKETT | MD | 1992795488 |
| DR. JOSE M FIGUEROA | M. D. | 1265413819 |
| MRS. AMITA N DAVE | MD | 1609859735 |
| DR. STEVEN L COHEN | MD | 1932171170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.