Mak Anesthesia Direct Services LLC

NPI #1275996787 in Alpharetta, Georgia

Provider Information

NPI Number: 1275996787
Entity Type: Organization
Organization Name: Mak Anesthesia Direct Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MAK ANESTHESIA PROVIDERS LLC
Primary Specialty: Anesthesiology
Enumeration Date: Apr 1, 2016
Last Updated: Apr 1, 2016

Practice Location

Address: 11681 HAYNES BRIDGE RD
Address 2: SUITE 110
City: Alpharetta
State: Georgia
ZIP Code: 30009-2133
Phone: (770) 702-1806

Authorized Official

Name: DR. PAMELA WEIGANDT, MD
Title: PRESIDENT/OWNER
Phone: (770) 702-1806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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