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Search › South Carolina › 207Q00000X

Brian Thacker, DO

NPI 1275037145 · on the registry since 2018

Practice

Address
3418 Casey St
Loris, SC 29569
Phone
(843) 756-7885
Fax
(843) 756-7855
Organisation at this address
Mcleod Physician Associates Ii
Southern Medical Associates, P.A.
Loris Community Hospital District
Loris Community Hospital District
Mcleod Regional Medical Center Of The Pee Dee, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina