Thackston, Lawrence Phillips

Thackston, Lawrence Phillips is an sole proprietor health care provider with primary practice located at 646 Rivers Turn Road , Orangeburg SC 29115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thackston, Lawrence Phillips can be contacted via phone (803) 536-0511.

Contact Information

Primary practice address
646 Rivers Turn Road Orangeburg SC 29115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MMD4125 South Carolina

Profile Details

NPI number 1629340443
LBN Legal business name Thackston, Lawrence Phillips
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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