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Organization
SAPPHIRE AND DIAMOND WELLNESS CENTER, LLC
Active
Organization
SAPPHIRE AND DIAMOND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA STEPHENSON BSN,RN (ADMINISTRATOR)
(470) 545-0860
Entity
Organization
Contact information
Practice address
1315 MILSTEAD RD NE STE 101, CONYERS, GA 30012-3824
(470) 545-0860
(470) 300-7778
Mailing address
2890 GEORGIA HIGHWAY 212 SW STE A106, CONYERS, GA 30094-3363
(470) 359-5165
(470) 545-0860
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
Other
Enumeration date
12/10/2021
Last updated
04/17/2023
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