| Doctor Name: | ASHLEY S UNDERWOOD |
| NPI Number: | 1124453212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 192047 |
| Business Practice Address: | 3331 Hamilton Mill Rd Buford, GA - 305194096 |
| Business Phone Number: | 6785410588 |
| Business Fax Number: | |
| Mailing Address: | 2257 Crimson King Dr, BRASELTON |
| State: | GA |
| Postal Code: | 305174021 |
| Phone Number: | 7708511849 |
| Fax Number: | |
| NPI Enumeration Date: | 09/07/2013 |
| NPI Last Update Date: | 09/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 192047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |