Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lawrence Phillips Thackston Jr., MD

Individual provider Urology Physician · NPI 1629340443

Dr. Lawrence Phillips Thackston Jr., MD is an Urology Physician in Orangeburg, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

646 Rivers Turn Rd
Orangeburg, SC 29115
Phone: (803) 536-0511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MMD4125 (SC)

Record details

NPI number1629340443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 9, 2012
Last updated in NPPESFebruary 9, 2012

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