Mabelton Enterprise

NPI #1740514959 in Mableton, Georgia

Provider Information

NPI Number
1740514959
Entity Type
Organization
Organization Name
Mabelton Enterprise
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Sep 22, 2009
Last Updated
Sep 24, 2009

Practice Location

Address
1338 VETERANS MEMORIAL HWY SW
State
Georgia
ZIP Code
30126-3112
Phone
(850) 728-2624

Authorized Official

Name
MS. OLUFUNMILAYO ADEJOKUN
Title
CEO
Phone
(850) 728-2624

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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