Provider Demographics
NPI:1437370061
Name:ORR, SAMUEL JOHNSTON (DO)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:JOHNSTON
Last Name:ORR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 FOREST HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-2837
Mailing Address - Country:US
Mailing Address - Phone:864-902-0820
Mailing Address - Fax:864-902-0820
Practice Address - Street 1:140 FOREST HILLS DR
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-2837
Practice Address - Country:US
Practice Address - Phone:864-902-0820
Practice Address - Fax:864-902-0820
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC00301207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine