Isd Renal INC
NPI #1104871573 in Jackson, Mississippi
Provider Information
- NPI Number
- 1104871573
- 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
- Nov 19, 2024
Practice Location
- Address
- 1828 RAYMOND RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-4126
- Phone
- (601) 373-7897
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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| Isd Renal INC |  AI Deep Dive |
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