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Organization

PEACHTREE FAYETTE WOMEN'S SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE R BRANDT RN (R.N., PRACTICE MANAGER)
(770) 632-9900
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20002063
GA

Other

Enumeration date
05/17/2006
Last updated
10/02/2012
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