Provider Demographics
NPI:1285604447
Name:LATTER, HENRY WALTER JR (DC)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:WALTER
Last Name:LATTER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1 FIELDFARE WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6933
Mailing Address - Country:US
Mailing Address - Phone:843-766-6314
Mailing Address - Fax:
Practice Address - Street 1:975 SAVANNAH HWY
Practice Address - Street 2:SUITE J
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7859
Practice Address - Country:US
Practice Address - Phone:843-402-0310
Practice Address - Fax:843-402-9819
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC3054111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition