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NPI Code Detail

MEDICARE: DR. BONNIE HEATHER TEMPLETON M.D.

MEDICARE:  DR. BONNIE HEATHER TEMPLETON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianD0078684MD
2207Q00000XFamily Medicine Physician6796AK
3207Q00000XFamily Medicine Physician28202WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487877551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BONNIE HEATHER TEMPLETON M.D.
Provider Business Mailing Address
First Line : 411 1/2 D STREET
Second Line : SUITE 3
City : SOUTH CHARLESTON
State : WV
Zip : 25303-2533
Country : US
Telephone Number : 855-997-7900
Fax Number : 304-701-2545
Provider Business Practice Location Address
First Line : 411 1/2 D STREET
Second Line : SUITE 3
City : SOUTH CHARLESTON
State : WV
Zip : 25303-2533
Country : US
Telephone Number : 855-997-7900
Fax Number : 304-701-2545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 04/15/2025

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Directions to “ DR. BONNIE HEATHER TEMPLETON M.D.” Practice Location

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