Shanekkia Black, MD

NPI #1164928545 in Austell, Georgia

Provider Information

NPI Number: 1164928545
Entity Type: Individual
Name: Shanekkia Black, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Apr 4, 2018
Last Updated: Apr 19, 2023

Practice Location

Address: 1605 MULKEY RD STE 220
City: Austell
State: Georgia
ZIP Code: 30106-1127
Phone: (470) 956-3760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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