Organization Name: | R HENRY TEMPLE, MD., PC |
NPI Number: | 1588986616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUFUS HENRY TEMPLE (OWNER/CEO) |
Mailing Address: | 507 E Fremont St Burgaw |
State: | NC US |
Postal Code: | 284255131 |
Phone Number: | 9102592181 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2010 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 20978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |