Julie Annette Hundertmark, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

059428 Issued in GA

Practice address

7950 Martin Loop
Fort Benning, GA 31905-5647

Phone

(706) 544-2666

Fax

(706) 544-4040

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326243106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BJORNSTAD ST",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319056569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055647",
            "telephone_number": "706-544-2666",
            "fax_number": "706-544-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDERTMARK",
        "first_name": "JULIE",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Howe, DNP, FNP, ENP
• Debra F Howell, MSW
• Athena Hubbard
• Destiny E'Shunda Thomas Huff
• Drew Garrett Hundertmark, DO
• Elizabeth Francis Hunt, LMSW, LMSW-A
• Carolyn White Hunter, MSW
• Christian Tyler Hunter, MD
• Emily G Hunter, MD
• Charles Hutchinson, D.O

• Family Medicine Physician in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.