Provider Demographics
NPI:1710542725
Name:SCHAU, ASHLEY COREY (DO)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:COREY
Last Name:SCHAU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:COREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4298 ATLANTA RD SE STE 110
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6433
Mailing Address - Country:US
Mailing Address - Phone:678-505-4901
Mailing Address - Fax:678-505-4902
Practice Address - Street 1:4298 ATLANTA RD SE STE 110
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6433
Practice Address - Country:US
Practice Address - Phone:678-505-4901
Practice Address - Fax:678-505-4902
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA88191207Q00000X, 207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program