Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 20946 | SC |
Y | 208600000X | Surgeon | 20946 | SC |
N | 2086X0206X | Surgical Oncologist | 20946 | SC |
NPI | 1215937990 |
---|---|
Provider Name | Richard Kenneth Orr |
First Address | Atlanta, GA 30374-3070 |
Second Address | Spartanburg, SC 29303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 13/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020042511 | RAILROAD MEDICARE (01) | |
209465 | (05) | SC |
89063JU | (05) | NC |
89511 | MEDCOST (01) | |
F38288 | (02) | |
F382883365 | MEDICARE PIN (01) | SC |
P01122311 | RAILROAD MEDICARE (01) | SC |
S396823 | CIGNA (01) | |
SC21027628 | MEDICARE PIN (01) | SC |