Individual
PETER R LATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200500837
NC
207P00000X
Emergency Medicine Physician
Primary
OP60188449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901885
—
NC
Enumeration date
02/08/2007
Last updated
06/27/2023
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