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Individual

ANA-MARIA M TEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1422
(704) 446-1582
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-1422
(704) 446-1582

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-00551
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140XA
NCBCBS
NC
05
1497788988
NC
05
5901094
NC
05
N51006
SC
Enumeration date
07/08/2006
Last updated
12/06/2016
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