BRIAN THACKER, DO
Family Medicine
Active
Individual
NPI: 1275037145
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 83714 (SC) |
Frequently Asked Questions
NPI 1275037145 is the National Provider Identifier for BRIAN THACKER, DO, a Family Medicine provider located in Loris, SC. This NPI was enumerated on March 23, 2018.
BRIAN THACKER, DO practices at 3418 CASEY ST, Loris, SC 29569.
Quick Facts
- NPI
- 1275037145
- Type
- Individual
- Enumerated
- Mar 23, 2018
- Last Updated
- Sep 5, 2021
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