Isd Canton LLC

NPI #1366480832 in Canton, Georgia

Provider Information

NPI Number
1366480832
Entity Type
Organization
Organization Name
Isd Canton LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 4, 2006
Last Updated
Aug 9, 2024

Practice Location

Address
260 HOSPITAL RD
City
Canton
State
Georgia
ZIP Code
30114-2409
Phone
(678) 880-3939

Authorized Official

Name
SAMUEL WEY
Title
VP LICENSURE & CERTIFICATION
Phone
(615) 341-6641

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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