Provider Demographics
NPI:1154406270
Name:ORME MEDICAL PLLC
Entity type:Organization
Organization Name:ORME MEDICAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRBY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ORME
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-951-4048
Mailing Address - Street 1:123A HIGHWAY 80 E # 243
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-4738
Mailing Address - Country:US
Mailing Address - Phone:601-951-4048
Mailing Address - Fax:
Practice Address - Street 1:65 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5221
Practice Address - Country:US
Practice Address - Phone:601-924-1744
Practice Address - Fax:601-924-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty