Brian James Thacker, DO

NPI #1275037145 in Loris, South Carolina

Provider Information

NPI Number: 1275037145
Entity Type: Individual
Name: Brian James Thacker, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Mar 23, 2018
Last Updated: Sep 5, 2021

Practice Location

Address: 3418 CASEY ST
City: Loris
State: South Carolina
ZIP Code: 29569-2904
Phone: (843) 756-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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