Individual
MS. HEIDE SUZANNE TEMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
457-B HWY 123 BYPASS, SENECA, SC 29678
(864) 888-4464
(864) 888-4462
Mailing address
204 CATAWBAH RD, CLEMSON, SC 29631
(803) 318-4892
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
54895
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1060
—
SC
05
—
RHC195
—
SC
Enumeration date
12/01/2005
Last updated
06/14/2012
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