Individual
BERNARD N. OREWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5987 MABLETON PKWY, MABLETON, GA 30126-3347
(770) 941-4012
(770) 941-7433
Mailing address
5987 MABLETON PKWY, MABLETON, GA 30126-3347
(770) 941-4012
(770) 941-7433
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051527
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01034588
AMERIGROUP
GA
01
—
178074
UNITED HEALTHCARE UPIN
GA
01
—
203837351
BLUE SHIELD
GA
05
—
455155851A
—
GA
01
—
P00471327
RAILROAD MEDICARE
GA
Enumeration date
12/05/2006
Last updated
04/23/2015
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