Provider Demographics
NPI:1407187735
Name:TEMPLETON, RACHAEL ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:ANNE
Last Name:TEMPLETON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:ANNE
Other - Last Name:BUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:593 ATLANTA STREET
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075
Mailing Address - Country:US
Mailing Address - Phone:770-993-8888
Mailing Address - Fax:770-993-7800
Practice Address - Street 1:593 ATLANTA STREET
Practice Address - Street 2:GORMAN CHIROPRACTIC
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075
Practice Address - Country:US
Practice Address - Phone:770-993-8888
Practice Address - Fax:770-993-7800
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor