Organization
MABELTON ENTERPRISE
Active
Other names
Mableton Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLUFUNMILAYO ADEJOKUN (CEO)
(850) 728-2624
Entity
Organization
Contact information
Practice address
1338 VETERANS MEMORIAL HWY SW, MABLETON, GA 30126-3112
(850) 728-2624
Mailing address
26 ANASTASIA DR SE, MABLETON, GA 30126-1461
(850) 728-2624
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/24/2009
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