Organization
SOUTHERN WEIGHT LOSS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L HILLER (OWNER)
(912) 681-6334
Entity
Organization
Contact information
Practice address
1098 BERMUDA RUN STE 6, STATESBORO, GA 30458-0878
(912) 681-6334
Mailing address
1094 BERMUDA RUN, STATESBORO, GA 30458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2015
Last updated
03/14/2019
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