Search › Georgia › 363LA2100X
Stanley Underwood, AGACNP
NPI 1669205209 · on the registry since 2024
Practice
- Address
- 638 Historic Hwy 441 Suite B
Demorest, GA 30535 - Phone
- (770) 534-2020
- Organisation at this address
- Dfg Llc
Bms Pharmacy Services LlcInferred from a shared address, not stated in the registry.
Additional practice sites
- 200 S Enota Dr Ne, Gainesville, GA
- 743 Spring St Ne, Gainesville, GA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 163W00000X
390200000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia