Organization
MAK ANESTHESIA TCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA G WEIGANDT M.D. (PRESIDENT/CEO)
(770) 378-7887
Entity
Organization
Contact information
Practice address
993-D JOHNSON FERRY RD, SUITE 200, ATLANTA, GA 30342
(404) 969-1996
Mailing address
1635 OLD HIGHWAY 41 NW, SUITE 112-328, KENNESAW, GA 30152-4480
(770) 702-1806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
GA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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