Huntly, Jacqueline Elizabeth

Huntly, Jacqueline Elizabeth is an individual health care provider with primary practice located at 1107 E 66Th St , Savannah GA 31404-5701. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Huntly, Jacqueline Elizabeth can be contacted via phone (912) 350-8404.

Contact Information

Primary practice address
1107 E 66Th St Savannah GA 31404-5701
Phone: (912) 350-8404
Fax: (912) 350-8067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 048428 Georgia
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 048428 Georgia

Profile Details

NPI number 1750529384
LBN Legal business name Huntly, Jacqueline Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Jul 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750529384 NPPES
Georgia Other P01027627 RAILROAD MEDICARE
Georgia MEDICAID 003116232A RAILROAD MEDICARE
Georgia MEDICAID GA1255 RAILROAD MEDICARE

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