Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Weight Loss Clinic, LLC

Organization Family Medicine Physician · NPI 1740748870

Southern Weight Loss Clinic, LLC is a Family Medicine Physician 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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