Healthcare Provider Details

I. General information

NPI: 1073537338
Provider Name (Legal Business Name): WILLIAM M TEMPLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 GOVERNORS DR SW
HUNTSVILLE AL
35801-5123
US

IV. Provider business mailing address

2505 AUDUBON LN SE
HAMPTON COVE AL
35763-8443
US

V. Phone/Fax

Practice location:
  • Phone: 256-535-3100
  • Fax: 256-539-0689
Mailing address:
  • Phone: 256-533-0773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number8520
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: