Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Weight Loss Clinic, LLC

Organization Family Medicine Physician · NPI 1740748870

Southern Weight Loss Clinic, LLC provides Family Medicine Physician services in Marietta, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 Dallas Hwy SW Ste 210
Marietta, GA 30064-1687
Phone: (770) 628-5633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1740748870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betsy Stanridge — Administrator · (770) 628-5633
NPI enumeratedMarch 7, 2019
Last updated in NPPESMarch 14, 2019
Mailing address3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687

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