Isd Renal INC
NPI #1083669089 in Canton, Mississippi
Provider Information
- NPI Number
- 1083669089
- Entity Type
- Organization
- Organization Name
- Isd Renal INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 24, 2006
- Last Updated
- Dec 18, 2025
Practice Location
- Address
- 620 E PEACE ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046
- Phone
- (601) 859-3382
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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