| NPI | 1275996787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA WEIGANDT President/Owner 770-702-1806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 051609) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |