Search › Georgia › 207R00000X
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, LlcInferred 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