| Dr Lawrence Phillips Thackston Jr, MD | |
|
646 Rivers Turn Road, Orangeburg, SC 29115 | |
| (803) 536-0511 | |
| Not Available |
| Full Name | Dr Lawrence Phillips Thackston Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 646 Rivers Turn Road, Orangeburg, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629340443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MMD4125 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence Phillips Thackston Jr, MD 646 Rivers Turn Road, Orangeburg, SC 29115 Ph: (803) 536-0511 | Dr Lawrence Phillips Thackston Jr, MD 646 Rivers Turn Road, Orangeburg, SC 29115 Ph: (803) 536-0511 |
Michael S Hay, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1747 Village Park Dr, Orangeburg, SC 29118 Phone: 803-534-5700 Fax: 803-534-5712 | |
Dr. William Walton Mims Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1175 Cook Rd, Suite 310, Orangeburg, SC 29118 Phone: 803-534-4611 Fax: 803-534-7269 |