Organization
MAK ANESTHESIA GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA WEIGANDT MD (CEO/MANAGING PARTNER)
(770) 702-1806
Entity
Organization
Contact information
Practice address
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152-4402
(770) 702-1806
(770) 693-0810
Mailing address
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152-4402
(770) 702-1806
(770) 693-0810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
08/11/2025
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