Provider Demographics
NPI:1205638285
Name:ANDREWS, JERRY OLIVER II (MD)
Entity type:Individual
Prefix:DR
First Name:JERRY
Middle Name:OLIVER
Last Name:ANDREWS
Suffix:II
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 STANTON RD APT 1323
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-2478
Mailing Address - Country:US
Mailing Address - Phone:334-730-5599
Mailing Address - Fax:
Practice Address - Street 1:320 STANTON RD APT 1323
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2478
Practice Address - Country:US
Practice Address - Phone:334-730-5599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider