Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 63510 | GA |
NPI | 1013059740 |
---|---|
Provider Name | Sean Christopher Orr |
First Address | Saint Marys, GA 31558-2833 |
Second Address | Saint Marys, GA 31558-2833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 25/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001913300 | (05) | FL |
H05629 | (02) | FL |