DR. LAWRENCE PHILLIPS THACKSTON JR. M.D.
NPI 1629340443
Urology in Orangeburg, SC

Active since February 09, 2012
646 RIVERS TURN ROAD, ORANGEBURG, SC 29115(803) 536-0511 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Urology

About LAWRENCE THACKSTON

This page provides the complete NPI Profile along with additional information for Lawrence Thackston, a provider established in Orangeburg, South Carolina with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1629340443 assigned on February 2012. The practitioner's primary taxonomy code is 208800000X with license number MMD4125 (SC). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1629340443 Verify this NPI
Provider Name
DR. LAWRENCE PHILLIPS THACKSTON JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
646 RIVERS TURN ROAD ORANGEBURG, SC 29115
Location Phone
(803) 536-0511
Mailing Address
646 RIVERS TURN ROAD ORANGEBURG, SC 29115
Mailing Phone
(803) 536-0511
Is Sole Proprietor?
Yes
Enumeration Date
02-09-2012
Last Update Date
02-09-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
MMD4125
License State
SC
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629340443, enumerated as an "individual" on February 09, 2012.

The provider is located at 646 RIVERS TURN ROAD ORANGEBURG, SC 29115 and the phone number is (803) 536-0511.

Urology with taxonomy code 208800000X.