Isd Renal INC

NPI #1710932090 in Jackson, Mississippi

Provider Information

NPI Number
1710932090
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
1015 I 20 FRONTAGE RD
ZIP Code
39204-5807
Phone
(601) 373-9154

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) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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