Individual
HENRY LAVERN FRANKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1112 HAMPTON STREET, STE D, WALTERBORO, SC 29488-4168
(843) 579-6636
Mailing address
PO BOX 231, WALTERBORO, SC 29488-0003
(843) 549-6636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
630
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218933
—
SC
Enumeration date
11/17/2006
Last updated
10/16/2008
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