Provider Demographics
NPI:1194885640
Name:HUNGERPILLER, JEANNE MAROTTA (MD)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:MAROTTA
Last Name:HUNGERPILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 EISENHOWER DR STE 12A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2632
Mailing Address - Country:US
Mailing Address - Phone:912-201-1140
Mailing Address - Fax:912-417-4348
Practice Address - Street 1:310 EISENHOWER DR STE 12A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2632
Practice Address - Country:US
Practice Address - Phone:912-201-1140
Practice Address - Fax:912-417-4348
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031985208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000482941DMedicaid
GA01BDHMKMedicare ID - Type Unspecified
GA000482941DMedicaid