DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAK ANESTHESIA HOLDINGS LLC

MEDICARE: MAK ANESTHESIA HOLDINGS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1912452939
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAK ANESTHESIA HOLDINGS LLC
Provider Business Mailing Address
First Line : 1300 RIDENOUR BLVD NW STE 300
Second Line :
City : KENNESAW
State : GA
Zip : 30152-4402
Country : US
Telephone Number : 770-702-1806
Fax Number : 770-693-8769
Provider Business Practice Location Address
First Line : 1300 RIDENOUR BLVD NW STE 300
Second Line :
City : KENNESAW
State : GA
Zip : 30152-4402
Country : US
Telephone Number : 770-702-1806
Fax Number : 770-693-0810
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : DR. PAMELA WEIGANDT
Credential : M.D.
Telephone Number : 770-702-1806
Provider Enumeration Date : 08/19/2016
Last Update Date : 02/17/2026

Similar Medicare Providers

1376785600 — DR. GRANT ADAM DOORNBOS M.D.
Practice Location Address:
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA
30152-4402
Practice Phone: 770-702-1806
Practice Fax:
1184859340 — HENRY RACHAL III M.D.
Practice Location Address:
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA
30152-4402
Practice Phone: 770-693-0810
Practice Fax:
1457665002 — MRS. ANIK ANITA HAYAT M.D.
Practice Location Address:
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA
30152-4402
Practice Phone: 770-702-1806
Practice Fax:
1699041863 — DR. JERRY TEE TODD M.D.
Practice Location Address:
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA
30152-4402
Practice Phone: 770-634-4215
Practice Fax:
1194161158 — KATELYN E LONGACRE CRNA
Practice Location Address:
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA
30152-4402
Practice Phone: 770-702-1806
Practice Fax: 770-693-0810
1174937320 — DAISY TAMBE JEAN-PIERRE CRNA
Practice Location Address:
1300 RIDENOUR BLVD NW STE 300
KENNESAW, GA
30152-4402
Practice Phone: 770-702-1806
Practice Fax:

Directions to “MAK ANESTHESIA HOLDINGS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.