DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LAWRENCE PHILLIPS THACKSTON JR., M.D.

Active Sole Proprietor

DR. LAWRENCE PHILLIPS THACKSTON JR., M.D. is a Urology healthcare provider located in ORANGEBURG, South Carolina. NPI 1629340443 is currently active in the NPPES registry. Verify at CMS.

Urology · ORANGEBURG, SC

Registration Details

NPI Number
1629340443
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2012 (14.529640635472 yrs)
Last Updated
Feb 9, 2012
License
MMD4125 (SC)
Sole Proprietor
Yes

Practice Information

Address
646 RIVERS TURN ROAD
ORANGEBURG, SC, 29115
Browse SC providers · Browse ZIP 29115
Phone
8035360511
Primary Specialty
Urology
208800000X

Other Urology Providers in ORANGEBURG, SC

Name Credential NPI
MICHAEL S HAY MD 1336145408
DR. WILLIAM WALTON MIMS JR. M.D. 1922052026
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.