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Organization

MAK ANESTHESIA PAIN SERVICES, LLC

Active
Parent organization
MAK ANESTHESIA HOLDINGS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAK ANESTHESIA HOLDINGS LLC
Authorized official
LANCE WERSLAND (CEO)
(770) 702-1806
Entity
Organization

Contact information

Practice address
1360 UPPER HEMBREE RD STE 200, ROSWELL, GA 30076-1230
(770) 702-1806
Mailing address
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152-4402
(770) 702-1806

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
02/01/2024
Last updated
02/01/2024
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