# PEACHTREE FAYETTE WOMEN'S SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164475703
- **Authorized official:** MICHELE R BRANDT RN (R.N., PRACTICE MANAGER)
- **Authorized official phone:** (770) 632-9900

## Contact information

- **Practice address:** 1267 HIGHWAY 54 W, SUITE 3200, FAYETTEVILLE, GA 30214-4526
- **Practice address phone:** (770) 632-9900
- **Practice address fax:** (770) 632-9997
- **Mailing address:** 1267 HIGHWAY 54 W, SUITE 3200, FAYETTEVILLE, GA 30214-4526
- **Mailing address phone:** (770) 632-9900
- **Mailing address fax:** (770) 632-9997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 20002063 | GA | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 10/02/2012