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Physician Compare National (NPI:1386055499)

HEALTHCARE PROVIDER: RONALD NAKAI NETTEY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1386055499
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1951528553
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20171011003197
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NETTEY
Individual professional last name
Provider First Name RONALD
Individual professional first name
Provider Middle Name N
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2014
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NORTH ATLANTA PRIMARY CARE, P.C.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3577559673
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 31
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 4235 JOHNS CREEK PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE A
Group Practice or individual's line 2 address
City SUWANEE
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 300246038
Group Practice or individual's zip code (9 digits when available)
Phone Number 7704421911
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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