NPI 1306421631

Randall Orr, RPSGT

Practitioner Other Specialist/Technologist Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 815-0917
Fax: (601) 815-1050

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 21067 (MS)

Other Specialist/Technologist, Other providers in Mississippi →

Registry record

NPI: 1306421631
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2021
Record last updated: 17 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.