MEDICARE: RONALD NAKAI NETTEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	78273	GA
2	207Q00000X	Family Medicine Physician	W3168	TX
3	207Q00000X	Family Medicine Physician	35C.003212	OH
4	207Q00000X	Family Medicine Physician	349312	LA
5	207Q00000X	Family Medicine Physician	CDR.0006391	CO

General Provider Information

NPI Number	:	1386055499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD NAKAI NETTEY MD

Provider Business Mailing Address
First Line	:	1030 PITTS RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-4958
Country	:	US
Telephone Number	:	678-793-0094
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 PITTS RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-4958
Country	:	US
Telephone Number	:	678-793-0094
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2014
Last Update Date	:	03/23/2026

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