LAWRENCE PHILLIPS THACKSTON

ORANGEBURG, SC
NPI1629340443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: SC  MMD4125)
Enumeration Date2012-02-09
Last Update Date2012-02-09
Business Address
Dr. LAWRENCE PHILLIPS THACKSTON M.D.
646 RIVERS TURN ROAD
ORANGEBURG, SC 29115
Phone number: 803-536-0511
Mailing Address
Dr. LAWRENCE PHILLIPS THACKSTON M.D.
646 RIVERS TURN ROAD
ORANGEBURG, SC 29115
Phone number: 803-536-0511
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