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SOUTHERN WEIGHT LOSS CLINIC, LLC
NPI 1740748870
Family Medicine in Marietta, GA

Active since March 07, 2019
3600 DALLAS HWY SW STE 210, MARIETTA, GA 30064(770) 628-5633 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2019, Mar 7, 2019 (2 updates tracked since 2019).

About Southern Weight Loss Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN WEIGHT LOSS CLINIC, LLC (NPI 1740748870) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since March 2019. The organization lists Betsy Stanridge, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740748870
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN WEIGHT LOSS CLINIC, LLC
Location Address3600 DALLAS HWY SW STE 210Marietta, GA 30064-1687
Mailing Address3600 Dallas Hwy Sw Ste 210Marietta, GA 30064-1687 · (770) 628-5633
Phone(770) 628-5633
Organization SubpartNo
Authorized OfficialBetsy StanridgeAdministrator · (770) 628-5633
Enumeration DateMarch 7, 2019
Last NPPES UpdateMarch 14, 20192 updates tracked since enumeration
✔ NPI 1740748870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3600 DALLAS HWY SW STE 210, Marietta, GA 30064
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

H&H WEIGHT LOSS LLC
Family Medicine
3600 DALLAS HWY SW STE 210
MARIETTA, GA 30064
Cobb County (770) 628-5633
MONICA BUGG FNP-BC
Nurse Practitioner
3600 DALLAS HWY SW STE 210
MARIETTA, GA 30064
Cobb County (770) 628-5633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Weight Loss Clinic, LLC's NPI number?

The NPI number for Southern Weight Loss Clinic, LLC is 1740748870. It was assigned to this organization in the NPPES registry on March 7, 2019.

Where is Southern Weight Loss Clinic, LLC located?

Southern Weight Loss Clinic, LLC is located at 3600 Dallas Hwy SW Ste 210, Marietta, GA 30064. The listed phone number is (770) 628-5633.

What is Southern Weight Loss Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Southern Weight Loss Clinic, LLC was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.