Organization
NORTH BROAD FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W ORR DO (PHYSICIAN)
(770) 307-0661
Entity
Organization
Contact information
Practice address
295 NORTH BROAD ST, WINDER, GA 30680
(770) 307-0661
(770) 307-4701
Mailing address
295 NORTH BROAD ST, WINDER, GA 30680
(770) 307-0661
(770) 307-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00565793G
—
GA
Enumeration date
10/06/2006
Last updated
08/22/2020
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