SearchGeorgia207R00000X

Brenton Black, MD

NPI 1952515595 · on the registry since 2007

Practice

Address
550 Peachtree St Ne Fl 7
Atlanta, GA 30308
Phone
(404) 686-8181
Fax
(404) 686-5905
Organisation at this address
Aga, Llc
Aga, Llc
Hypersphere
See Baby, Llc
Neuropath, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
946

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-11

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