Organization
PERIDOT AND EMERALD MOBILE SERVICES, LLC
Active
Organization
PERIDOT AND EMERALD MOBILE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLA MICHELLE STEPHENSON 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) 545-0860
(470) 300-7778
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
04/17/2023
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