Individual
JON ERIC STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1110 W PEACHTREE ST NW STE 940, ATLANTA, GA 30309-3609
(770) 292-6500
(770) 292-6535
Mailing address
192 LINDQUIST RD, BUILDING 412, FORT STEWART, GA 31314
(912) 435-5457
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005200
GA
363AM0700X
Medical Physician Assistant
009452-1
NY
Other
Enumeration date
11/09/2006
Last updated
12/20/2018
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