Mableton Medical Enterprises Corp
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Mableton, GA. Organization (NPI-2).
NPI number1699005223
StatusActive
Last updated in NPPESDec 22, 2015
Details
- NPI
- 1699005223
- Entity type
- Organization (NPI-2)
- Legal business name
- Mableton Medical Enterprises Corp
- Organization subpart
- Yes
- Enumeration date
- Jan 4, 2010
- Last updated
- Dec 22, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | Pending | GA | Yes |
Other names
- Mableton Dialysis (Doing Business As)
Practice location
1380 Veterans Memorial Hwy SwMableton, GA 30126-3112
Phone 770-485-1773 · Fax 770-627-3202
Mailing address
5080 Johns Creek CtAlpharetta, GA 30022-5186
Phone 850-728-2624
Authorized official
Olufunmilayo N/A Adejokun
Ceo
8507282624
Is something wrong?
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