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NPI Code Detail

MEDICARE: DR. SOFIA MARIE TEMPLE MD

MEDICARE: DR. SOFIA MARIE TEMPLE MD
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
1208000000XPediatrics Physician32376SC

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 : 1659367027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOFIA MARIE TEMPLE MD
Provider Business Mailing Address
First Line : 800 PELHAM RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3300
Country : US
Telephone Number : 864-234-5800
Fax Number : 864-234-5881
Provider Business Practice Location Address
First Line : 800 PELHAM RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3300
Country : US
Telephone Number : 864-234-5800
Fax Number : 864-234-5881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 04/14/2016

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Directions to “ DR. SOFIA MARIE TEMPLE MD” Practice Location

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