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SAPPHIRE AND DIAMOND WELLNESS CENTER LLC NPI 1215696869


NPI Information

NPI: 1215696869
Provider Name: SAPPHIRE AND DIAMOND WELLNESS CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1315 MILSTEAD RD NE STE 101
CONYERS, GA
ZIP 30012
Phone: (470) 545-0860
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SAPPHIRE AND DIAMOND WELLNESS CENTER, LLC is a general practice in Conyers, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SAPPHIRE AND DIAMOND WELLNESS CENTER, LLC NPI is 1215696869. The provider is registered as an organization entity type.

The provider's business location address is:

1315 MILSTEAD RD NE STE 101
CONYERS, GA
ZIP 30012-824
Phone: (470) 545-0860
Fax: (470) 300-7778

The provider's authorized official is Ella Stephenson .
The authorized official title is Administrator and has the following contact phone number (470) 545-0860.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 4/17/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QI0500XClinic/CenterInfusion TherapyNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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