License holder summary

SHOCKLEY, BLAKE EDWARD, MD is a Medical - Physician licensed to practice in Georgia. The address on file for SHOCKLEY, BLAKE EDWARD, MD is 59 EXECUTIVE DRIVE, Atlanta 30329. This doctor license is not current. The license was granted 03/04/2011 and expired on 10/31/2012.

Georgia

Composite Medical Board

SHOCKLEY, BLAKE EDWARD, MD
Medical - Physician
License number
065797
Date granted
03/04/2011
Date expires
10/31/2012
Class
Medical - Physician
Status
Lapsed
Address
59 EXECUTIVE DRIVE
georgiadoctors.net
ID 38081453
LAST UPDATED 2026-05-14 07:21:58 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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