Individual
RICHARD KENNETH ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
853 N CHURCH ST, STE 500, SPARTANBURG, SC 29303
(864) 560-1576
(864) 560-1590
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20946
SC
2086X0206X
Surgical Oncology Physician
20946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020042511
RAILROAD MEDICARE
—
05
—
209465
—
SC
05
—
89063JU
—
NC
01
—
89511
MEDCOST
—
01
—
F382883365
MEDICARE PIN
SC
01
—
P01122311
RAILROAD MEDICARE
SC
01
—
S396823
CIGNA
—
01
—
SC21027628
MEDICARE PIN
SC
Enumeration date
07/26/2005
Last updated
07/13/2021
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