DR. Lawrence Phillips Thackston JR., M.D.
NPI #1629340443 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1629340443
- Entity Type
- Individual
- Name
- DR. Lawrence Phillips Thackston JR., M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Urology
- Credential
- M.D.
- Enumeration Date
- Feb 9, 2012
- Last Updated
- Feb 9, 2012
Practice Location
- Address
- 646 RIVERS TURN ROAD
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29115
- Phone
- (803) 536-0511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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