Ayesha M. Nettles, MD
Pediatrics · Fort Moore, GA
UnclaimedMDNPI 1871853226
- Primary taxonomy
- 208000000X
- Enumerated
- 2012-05-19
- Practice location
- Fort Moore, GA
- Last NPPES update
- 2023-07-12
State licenses
- GA · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · Physician and Surgeon License Interstate Medical Licensure CompactExpiredthrough 2024
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.