Doctor Name: | MR. JAMES STEPHEN TEMPLETON |
NPI Number: | 1619134210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LDO |
License Number: | 953 |
Business Practice Address: | 5433 Highway 53 Braselton, GA - 305173122 |
Business Phone Number: | 7066580270 |
Business Fax Number: | 7066580273 |
Mailing Address: | 5433 Highway 53, BRASELTON |
State: | GA |
Postal Code: | 305173122 |
Phone Number: | 7066580270 |
Fax Number: | 7066580273 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |