Individual
NICOLE NETTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11340 LAKEFIELD DR STE 200, JOHNS CREEK, GA 30097-2456
(616) 229-2935
Mailing address
1101 NOR TEC DRIVE, CONYERS, GA 30013
(678) 374-7514
(678) 374-7517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
78351
GA
207Q00000X
Family Medicine Physician
T7122
TX
Other
Enumeration date
05/06/2014
Last updated
11/06/2025
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