Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 20332 | SC |
NPI | 1023047818 |
---|---|
Provider Name | Paula E Orr |
First Address | Charleston, SC 29418 |
Second Address | Charleston, SC 29418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 03/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14069596843 | MEDICARE ID (01) | SC |
H06959 | (02) | |
T45742 | (05) | SC |