Organization · Type 2 NPI
Mabelton Enterprise
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mableton, GA
NPI number
1740514959
Active
Practice location
1338 Veterans Memorial Hwy SW
Mableton, GA 30126-3112
Mailing address
26 Anastasia Dr SE
Mableton, GA 30126-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Mableton
About NPI 1740514959
Mabelton Enterprise's National Provider Identifier is 1740514959, issued on Sep 22, 2009. 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 Sep 24, 2009.