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 |
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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 |
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Southern Weight Loss Clinic, Llc 1094 Bermuda Run Statesboro GA 30458 Ph: () - | Southern Weight Loss Clinic, Llc 1098 Bermuda Run Ste 6 Statesboro GA 30458-0878 Ph: (912) 681-6334 |
NPI Number | 1942675863 |
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Provider Enumeration Date | 12/03/2015 |
Last Update Date | 03/14/2019 |
Identifier | Type | State | Issuer |
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1942675863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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