Mak Anesthesia Ewsc LLC

NPI #1821369448 in Austell, Georgia

Provider Information

NPI Number: 1821369448
Entity Type: Organization
Organization Name: Mak Anesthesia Ewsc LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jan 13, 2012
Last Updated: Nov 1, 2016

Practice Location

Address: 2041 MESA VALLEY WAY
Address 2: STE 125
City: Austell
State: Georgia
ZIP Code: 30106-6828
Phone: (678) 309-8100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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