MEDICARE: ASHLEY COREY SCHAU DO

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	88191	GA

General Provider Information

NPI Number	:	1710542725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY COREY SCHAU DO

Provider Business Mailing Address
First Line	:	4298 ATLANTA RD SE STE 110
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-6433
Country	:	US
Telephone Number	:	678-505-4901
Fax Number	:	678-505-4902

Provider Business Practice Location Address
First Line	:	4298 ATLANTA RD SE STE 110
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-6433
Country	:	US
Telephone Number	:	678-505-4901
Fax Number	:	678-505-4902

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

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	10/21/2025

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