Isd Renal INC
NPI #1003390469 in Cookeville, Tennessee
Provider Information
- NPI Number
- 1003390469
- Entity Type
- Organization
- Organization Name
- Isd Renal INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 21, 2018
- Last Updated
- Nov 15, 2024
Practice Location
- Address
- 1843 FOREMAN DR STE 201
- City
- Cookeville
- State
- Tennessee
- ZIP Code
- 38501-5933
- Phone
- (931) 372-2706
Authorized Official
- Name
- SAMUEL T WEY
- Title
- VP LICENSURE & CERTIFICATION
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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