Provider Demographics
NPI:1861930661
Name:TEMPLETON, JOHN MONROE JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MONROE
Last Name:TEMPLETON
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 EAST HAMPTON DR
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30461
Mailing Address - Country:US
Mailing Address - Phone:912-681-7746
Mailing Address - Fax:912-681-7745
Practice Address - Street 1:1342 NORTHSIDE DR E
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-1007
Practice Address - Country:US
Practice Address - Phone:912-681-7746
Practice Address - Fax:912-681-7745
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor