| Southern Weight Loss Clinic, LLC | |
|
1098 Bermuda Run Ste 6 Statesboro GA 30458-0878 | |
| (912) 681-6334 | |
| Not Available |
| Full Name | Southern Weight Loss Clinic, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1098 Bermuda Run Ste 6, Statesboro, Georgia |
| Authorized Official Name and Position | James L Hiller (OWNER) |
| Authorized Official Contact | 9126816334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Weight Loss Clinic, LLC 1094 Bermuda Run Statesboro GA 30458 | Southern Weight Loss Clinic, LLC 1098 Bermuda Run Ste 6 Statesboro GA 30458-0878 Ph: (912) 681-6334 |
| NPI Number | 1942675863 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942675863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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