Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 025241 | GA |
N | 207YS0123X | Facial Plastic Surgeon | 025241 | GA |
NPI | 1144228826 |
---|---|
Provider Name | Dr. James Baxter Orr |
First Address | Atlanta, GA 30308-2212 |
Second Address | Atlanta, GA 30308-2212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 09/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000276911N | (05) | GA |
382583 | USA MANAGED CARE (01) | GA |
40012425 | RAILROAD MEDICARE (01) | GA |
514861 | AETNA (01) | GA |
59799 | BCBS OF GEORGIA (01) | GA |
7452824 | CIGNA (01) | GA |
B64923 | (02) | GA |