Provider Demographics
NPI:1013059740
Name:ORR, SEAN CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:CHRISTOPHER
Last Name:ORR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 CHARLIE SMITH SR HWY STE F
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-2833
Mailing Address - Country:US
Mailing Address - Phone:904-877-1887
Mailing Address - Fax:202-932-8477
Practice Address - Street 1:1191 CHARLIE SMITH SR HWY STE F
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-2833
Practice Address - Country:US
Practice Address - Phone:904-877-1887
Practice Address - Fax:202-932-8477
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA635102084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001913300Medicaid
FL001913300Medicaid
FL48318XMedicare PIN