Search › Georgia › 106S00000X
Shakia Blake
NPI 1588201768 · on the registry since 2019
Practice
- Address
- 1030 Abercorn Way
Douglasville, GA 30134 - Phone
- (914) 426-7547
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-05
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