institution
Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greensboro, Georgia
NPI 1073816914

Isd Renal Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Isd Renal Inc practices in Greensboro, GA. The NPI Number for Isd Renal Inc is 1073816914 and holds a License No. ESRD001127 (Georgia).

The current practice location address for Isd Renal Inc is 1041 Willow Run Rd, Greensboro, GA and can be reached out via phone at 762-815-5694 and via fax at 762-815-5701.

Location: 1041 Willow Run Rd, Greensboro, GA, 37027-7569
institution
Provider Profile Details
NPI Number
1073816914
Provider Name
Isd Renal Inc
Credential
Provider Entity Type
Organization
Address
1041 Willow Run Rd, Greensboro, GA, 37027-7569
Phone Number
762-815-5694
Fax Number
762-815-5701
Provider Enumeration Date
12/15/2010
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000768435A 05 GA
institution
Provider Business Practice Location Address Details
Address
1041 Willow Run Rd
City
State
Zip
30642-2760
Phone Number
762-815-5694
Fax Number
762-815-5701
person
Provider Business Mailing Address Details
Address
1041 Willow Run Rd
City
State
Zip
30642-2760
Phone Number
762-815-5694
Fax Number
762-815-5701
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
ESRD001127 (Georgia)
Definition
Definition to come...
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