Mak Anesthesia Decatur LLC

NPI #1720409147 in Decatur, Georgia

Provider Information

NPI Number: 1720409147
Entity Type: Organization
Organization Name: Mak Anesthesia Decatur LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jan 2, 2014
Last Updated: Nov 1, 2016

Practice Location

Address: 1457 SCOTT BLVD
City: Decatur
State: Georgia
ZIP Code: 30030-1425
Phone: (404) 292-2500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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