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Isd Canton Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canton, Georgia
NPI 1366480832

Isd Canton Llc 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 Canton Llc practices in Canton, GA. The NPI Number for Isd Canton Llc is 1366480832 and holds a License No. ESRD001260 (Georgia).

The current practice location address for Isd Canton Llc 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
1366480832
Provider Name
Isd Canton Llc
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
06/04/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
377703973A 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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