Southern Wellness & Weight Management Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036382 Issued in GA

Legal business name

SOUTHERN WELLNESS & WEIGHT MANAGEMENT CENTER

Practice address

1773 Sweetwater St
Austell, GA 30106-3294

Phone

(770) 745-2700

Fax

(770) 745-2703

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Arnold Dollar Gaskin, MD

Title

Medical Director

Phone

(770) 745-2700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497969216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 SWEETWATER ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301063294",
            "telephone_number": "770-745-2700",
            "fax_number": "770-745-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 SWEETWATER ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301063294",
            "telephone_number": "770-745-2700",
            "fax_number": "770-745-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN WELLNESS & WEIGHT MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GASKIN",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "DOLLAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-745-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "036382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Austell, GA
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.