Individual
RANDALL ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-0917
(601) 815-1050
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-0917
(601) 815-1050
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
21067
MS
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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