| Doctor Name: | JACQUELINE ELIZABETH HUNTLY |
| NPI Number: | 1750529384 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 048428 |
| Business Practice Address: | 1107 E 66th St Savannah, GA - 314045701 |
| Business Phone Number: | 9123508404 |
| Business Fax Number: | 9123508067 |
| Mailing Address: | 1107 E 66th St, SAVANNAH |
| State: | GA |
| Postal Code: | 314045701 |
| Phone Number: | 9123508404 |
| Fax Number: | 9123508067 |
| NPI Enumeration Date: | 02/04/2009 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 048428 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |