BRIAN JAMES THACKER

LORIS, SC
NPI1275037145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  83714)
Enumeration Date2018-03-23
Last Update Date2021-09-05
Business Address
BRIAN JAMES THACKER DO
3418 CASEY ST
LORIS, SC 29569-2904
Phone number: 843-756-7885
Mailing Address
BRIAN JAMES THACKER DO
PO BOX 3239
FLORENCE, SC 29502-3239
Phone number: 843-756-7885
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