Isd Renal INC

NPI #1982659264 in Jackson, Mississippi

Provider Information

NPI Number
1982659264
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
Aug 15, 2025

Practice Location

Address
571 E BEASLEY RD
Address 2
STE A
ZIP Code
39206-3042
Phone
(601) 957-1999

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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