Provider Demographics
NPI:1912054883
Name:STUBBLEFIELD, ANDREW WESLEY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:WESLEY
Last Name:STUBBLEFIELD
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:3821 US HIGHWAY 31 S
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1637
Mailing Address - Country:US
Mailing Address - Phone:256-340-2113
Mailing Address - Fax:256-353-4432
Practice Address - Street 1:3821 US HIGHWAY 31 S
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1637
Practice Address - Country:US
Practice Address - Phone:256-340-2113
Practice Address - Fax:256-353-4432
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2021-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.27383208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009942803Medicaid
AL51005145OtherBLUE CROSS BLUE SHIELD
AL51005145OtherBLUE CROSS BLUE SHIELD