Provider Demographics
NPI:1619207040
Name:BRIGHTWELL, RACHEL MICHELE (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MICHELE
Last Name:BRIGHTWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1609 BERNINI PL
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6144
Mailing Address - Country:US
Mailing Address - Phone:512-815-0972
Mailing Address - Fax:
Practice Address - Street 1:771 OLD NORCROSS RD STE 165
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4979
Practice Address - Country:US
Practice Address - Phone:678-442-3121
Practice Address - Fax:678-376-4045
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN67338207VX0201X
TXQ9127207VX0201X
GA102575207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology