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1720409147
MAK ANESTHESIA DECATUR LLC
DECATUR, GA
NPI
1720409147
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Entity Type
Organization
Authorized Contact
PAMELA WEIGANDT
President
770-702-1806
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 51609)
Enumeration Date
2014-01-02
Last Update Date
2016-11-01
Business Address
MAK ANESTHESIA DECATUR LLC
1457 SCOTT BLVD
DECATUR, GA 30030-1425
Phone number: 404-292-2500
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Mailing Address
MAK ANESTHESIA DECATUR LLC
1635 OLD 41 HIGHWAY NW, SUITE 112-328
KENNESAW, GA 30152
Phone number: 770-702-1806
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