Provider Demographics
NPI:1700833688
Name:O'SHIELDS, ASHLEY E (MD)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:E
Last Name:O'SHIELDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5905 ATLANTA HWY STE 101-1230
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5768
Mailing Address - Country:US
Mailing Address - Phone:706-429-8856
Mailing Address - Fax:678-384-5676
Practice Address - Street 1:5905 ATLANTA HWY STE 101-1230
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-5768
Practice Address - Country:US
Practice Address - Phone:706-429-8856
Practice Address - Fax:678-384-5676
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA053508208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA013147676EMedicaid