Provider Demographics
NPI:1043290695
Name:TEMPLETON, JOHN (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 N MERRIMON AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-1368
Mailing Address - Country:US
Mailing Address - Phone:828-348-8232
Mailing Address - Fax:855-323-6740
Practice Address - Street 1:40 N MERRIMON AVE STE 117
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-1368
Practice Address - Country:US
Practice Address - Phone:828-348-8232
Practice Address - Fax:855-323-6740
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200000996208000000X
SC33115208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912886Medicaid
SCQ96000Medicaid
SCQ96000Medicaid
NC8912886Medicaid