IndividualActive
Randall Orr, RPSGT
NPI 1306421631 · Other Specialist/Technologist · Jackson, MS
Provider details
- NPI number
- 1306421631
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RPSGT
- Sex
- Male
- Sole proprietor
- No
- License
- 21067 (MS)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-0917
Fax: (601) 815-1050
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2021-03-17
- Last updated
- 2021-03-17
- Certified
- 2021-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.