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Contact Information

JACQUELINE E HUNTLY, MD
1107 E 66TH ST
SAVANNAH, GA31404-5701
 Phone: 912-350-8404
 Fax: 912-350-8067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for JACQUELINE E HUNTLY · (Female)

NPI # 1750529384
Status Active
Credentials MD
Entity Individual
Enumeration date 02/04/2009
Last updated 07/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 048428
  • GA Medicaid 003116232A
  • SC Medicaid GA1255
  • GA Other P01027627 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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