Organization · Type 2 NPI
Mableton Medical Enterprises Corp
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mableton, GA
NPI number
1699005223
Active
Practice location
1380 Veterans Memorial Hwy SW
Mableton, GA 30126-3112
Fax (770) 627-3202
Mailing address
5080 Johns Creek Ct
Alpharetta, GA 30022-5186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | PENDING (GA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Other end-stage renal disease (esrd) treatment clinic/center providers in Mableton
About NPI 1699005223
Mableton Medical Enterprises Corp's National Provider Identifier is 1699005223, issued on Jan 4, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Mableton, GA. The record was last updated on Dec 22, 2015.