Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 33393 | AL |
NPI | 1003108150 |
---|---|
Provider Name | Dr. Elizabeth Maureen Orr |
First Address | Fairhope, AL 36532-1804 |
Second Address | Fairhope, AL 36532-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2011 |
Last Update Date | 08/12/2017 |