Provider Demographics
NPI:1528155884
Name:ORR, DONALD S (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:S
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 1:550 PEACHTREE STREET
Mailing Address - Street 2:SUITE 1215
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2237
Mailing Address - Country:US
Mailing Address - Phone:404-659-7117
Mailing Address - Fax:404-659-5999
Practice Address - Street 1:550 PEACHTREE STREET
Practice Address - Street 2:SUITE 1215
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2237
Practice Address - Country:US
Practice Address - Phone:404-659-7117
Practice Address - Fax:404-659-5999
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA26609174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist