Provider Demographics
NPI:1699780569
Name:CASE, ORRETH BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:ORRETH
Middle Name:BRUCE
Last Name:CASE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5755 N POINT PKWY
Mailing Address - Street 2:SUITE 98
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1142
Mailing Address - Country:US
Mailing Address - Phone:404-257-0644
Mailing Address - Fax:404-257-0644
Practice Address - Street 1:5755 N POINT PKWY
Practice Address - Street 2:SUITE 98
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022
Practice Address - Country:US
Practice Address - Phone:404-257-0644
Practice Address - Fax:404-257-0644
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2018-08-08
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Provider Licenses
StateLicense IDTaxonomies
GA045418208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA975779593BMedicaid
H70382Medicare UPIN
H70382Medicare UPIN
H70382Medicare UPIN