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Individual

DR. SAMUEL ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2251
Mailing address
2120 DELPOND LN, CHARLOTTE, NC 28226-6468

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17511
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8964273
NC
Enumeration date
08/09/2005
Last updated
08/08/2007
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