Organization
MAK ANESTHESIA DECATUR LLC
Active
Organization
MAK ANESTHESIA DECATUR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA WEIGANDT MD (PRESIDENT)
(770) 702-1806
Entity
Organization
Contact information
Practice address
1457 SCOTT BLVD, DECATUR, GA 30030-1425
(404) 292-2500
Mailing address
1635 OLD 41 HIGHWAY NW, SUITE 112-328, KENNESAW, GA 30152
(770) 702-1806
(770) 693-0810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
51609
GA
Other
Enumeration date
01/02/2014
Last updated
11/01/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up