Search › Georgia › 207R00000X
Shanekkia Black, MD
NPI 1164928545 · on the registry since 2018
Practice
- Address
- 1605 Mulkey Rd Ste 220
Austell, GA 30106 - Phone
- (470) 956-3760
- Fax
- (678) 398-1930
- Organisation at this address
- West Cobb Urology, Pc
C. David Markle, M.D. P.C.
Wellstar Medical Group, Llc
Wellstar Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 3825 Medical Park Dr Ste 201, Austell, GA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia