Randall Orr, RPSGT
NPI #1306421631 in Jackson, Mississippi
Provider Information
- NPI Number
- 1306421631
- Entity Type
- Individual
- Name
- Randall Orr, RPSGT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- RPSGT
- Enumeration Date
- Mar 17, 2021
- Last Updated
- Mar 17, 2021
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (601) 815-0917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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