Individual
DR. JENNIFER L HUNDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3131 MAPLE DR NE, SUITE 102, ATLANTA, GA 30305-2515
(404) 816-7900
(404) 816-7929
Mailing address
PO BOX 52226, ATLANTA, GA 30355-0226
(404) 816-7900
(404) 816-7929
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
069222
GA
207N00000X
Dermatology Physician
27568
AL
207N00000X
Dermatology Physician
4301084162
MI
207N00000X
Dermatology Physician
43292
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069222
GEORGIA LICENSE
GA
Enumeration date
05/13/2007
Last updated
03/28/2013
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