MABELTON ENTERPRISE NPI 1740514959

NPI Information

  • NPI: 1740514959
  • Provider Name: MABELTON ENTERPRISE
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: MABLETON DIALYSIS
  • Address: 1338 VETERANS MEMORIAL HWY SW
    MABLETON, GA
    ZIP 30126
  • Phone: (850) 728-2624

Map and Directions

Get Directions

NPI Details

MABELTON ENTERPRISE is an end-stage renal disease (esrd) treatment clinic center in Mableton, GA. MABELTON ENTERPRISE NPI is 1740514959. The provider is registered as an organization entity type.
The provider Is Doing Business As Mableton Dialysis.

The provider's business location address is:

1338 VETERANS MEMORIAL HWY SW
MABLETON, GA
ZIP 30126-112
Phone: (850) 728-2624

The provider's authorized official is Olufunmilayo Adejokun .
The authorized official title is Ceo and has the following contact phone number (850) 728-2624.

The enumeration date for this NPI number is 9/22/2009 and was last updated on 9/24/2009.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.