MABLETON DIALYSIS
NPI 1740514959
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Mableton, GA

Active since September 22, 2009
1338 VETERANS MEMORIAL HWY SW, MABLETON, GA 30126(850) 728-2624 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About MABLETON DIALYSIS

This page provides the complete NPI Profile along with additional information for Mableton Dialysis, a provider established in Mableton, Georgia operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1740514959 assigned on September 2009. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Mableton Dialysis. The authorized official of this NPI record is Ms. Olufunmilayo Adejokun (Ceo)

NPI
1740514959 Verify this NPI
Provider Legal Name
MABELTON ENTERPRISE
Other Organization Name
MABLETON DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1338 VETERANS MEMORIAL HWY SW MABLETON, GA 30126
Location Phone
(850) 728-2624
Mailing Address
26 ANASTASIA DR SE MABLETON, GA 30126
Mailing Phone
(850) 728-2624
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-22-2009
Last Update Date
09-24-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

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

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. OLUFUNMILAYO ADEJOKUN

Authorized Official Title
CEO
Authorized Official Phone
(850) 728-2624

Reviews for MABLETON DIALYSIS

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Technician, Other (Renal Dialysis)
1338 VETERANS MEMORIAL HWY SW
MABLETON, GA 30126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740514959, enumerated as an "organization" on September 22, 2009.

The provider is located at 1338 VETERANS MEMORIAL HWY SW MABLETON, GA 30126 and the phone number is (850) 728-2624.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.