Organization
MAK ANESTHESIA DIRECT SERVICES LLC
Active
Organization
MAK ANESTHESIA DIRECT SERVICES LLC
Active
Parent organization
MAK ANESTHESIA PROVIDERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAK ANESTHESIA PROVIDERS LLC
Authorized official
DR. PAMELA WEIGANDT MD (PRESIDENT/OWNER)
(770) 702-1806
Entity
Organization
Contact information
Practice address
11681 HAYNES BRIDGE RD, SUITE 110, ALPHARETTA, GA 30009-2133
(770) 702-1806
Mailing address
1635 OLD 41 HWY NW, SUITE 112-328, KENNESAW, GA 30152-4480
(770) 702-1806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
051609
GA
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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