Isd Brandon LLC
NPI #1790723831 in Brandon, Mississippi
Provider Information
- NPI Number
- 1790723831
- Entity Type
- Organization
- Organization Name
- Isd Brandon LLC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jun 2, 2006
- Last Updated
- Dec 1, 2025
Practice Location
- Address
- 101 CHRISTIAN DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2678
- Phone
- (601) 824-9764
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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