Healthcare Provider Details

I. General information

NPI: 1023047818
Provider Name (Legal Business Name): PAULA E ORR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5319 PARKSHIRE WAY
CHARLESTON SC
29418
US

IV. Provider business mailing address

5319 PARKSHIRE WAY
CHARLESTON SC
29418
US

V. Phone/Fax

Practice location:
  • Phone: 843-767-2121
  • Fax: 843-767-2102
Mailing address:
  • Phone: 843-767-2121
  • Fax: 843-767-2102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20332
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: