Provider Demographics
NPI:1558423830
Name:TEMPLETON, RALPH J (DC)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:J
Last Name:TEMPLETON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1184
Mailing Address - Street 2:507 ALABAMA AVENUE
Mailing Address - City:BREMEN
Mailing Address - State:GA
Mailing Address - Zip Code:30110
Mailing Address - Country:US
Mailing Address - Phone:770-537-5555
Mailing Address - Fax:770-537-0548
Practice Address - Street 1:507 ALABAMA AVE S
Practice Address - Street 2:P O B 1184
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110-2007
Practice Address - Country:US
Practice Address - Phone:770-537-5555
Practice Address - Fax:770-537-0548
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2023-04-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA2627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAT97868Medicare UPIN
T97868Medicare UPIN