Individual
MIA LYN TEMPLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7000
Mailing address
221 SHADOWOOD DR, JOHNSON CITY, TN 37604-1128
(423) 857-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000035386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3869662
—
TN
Enumeration date
05/11/2006
Last updated
03/07/2023
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