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Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canton, Georgia
NPI 1134637747

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 Canton, GA. The NPI Number for Isd Renal Inc is 1134637747 and holds a License No. ESRD001260 (Georgia).

The current practice location address for Isd Renal Inc is 260 Hospital Rd, Canton, GA and can be reached out via phone at 678-880-3939 and via fax at 770-479-9466.

Location: 260 Hospital Rd, Canton, GA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134637747
Provider Name
Isd Renal Inc
Credential
Provider Entity Type
Organization
Address
260 Hospital Rd, Canton, GA, 37027-7569
Phone Number
678-880-3939
Fax Number
770-479-9466
Provider Enumeration Date
01/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000410033B 05 GA
institution
Provider Business Practice Location Address Details
Address
260 Hospital Rd
City
Canton
State
Georgia
Zip
30114-2409
Phone Number
678-880-3939
Fax Number
770-479-9466
person
Provider Business Mailing Address Details
Address
260 Hospital Rd
City
Canton
State
Georgia
Zip
30114-2409
Phone Number
678-880-3939
Fax Number
770-479-9466
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
ESRD001260 (Georgia)
Definition
Definition to come...
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