Individual
DR. SAMUEL R. ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 S HARTMANN DR STE 200, LEBANON, TN 37090-4018
(615) 466-9770
(615) 466-9782
Mailing address
3901 CENTRAL PIKE, SUITE 251, HERMITAGE, TN 37076-3419
(615) 232-8033
(615) 885-7838
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49814
TN
208000000X
Pediatrics Physician
K9376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441099-01
—
TX
01
—
1441099-02
CSHCN
TX
01
—
370018989
RR/MEDICARE
TX
01
—
49814
STATE LICENSE
TN
01
—
8B0916
BLUE SHIELD
TX
05
—
Q000548
—
TN
Enumeration date
03/28/2006
Last updated
03/07/2023
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