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Isd Renal Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hazlehurst, Mississippi
NPI 1881649168

Isd Renal Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. Isd Renal Inc practices in Hazlehurst, MS. The NPI Number for Isd Renal Inc is 1881649168 and holds a License No. (Mississippi).

The current practice location address for Isd Renal Inc is 201 N Haley St, Hazlehurst, MS and can be reached out via phone at 601-894-5509 and via fax at 601-894-5514.

Location: 201 N Haley St, Hazlehurst, MS, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881649168
Provider Name
Isd Renal Inc
Credential
Provider Entity Type
Organization
Address
201 N Haley St, Hazlehurst, MS, 37027-7569
Phone Number
601-894-5509
Fax Number
601-894-5514
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00220481 05 MS
institution
Provider Business Practice Location Address Details
Address
201 N Haley St
City
Hazlehurst
State
Mississippi
Zip
39083
Phone Number
601-894-5509
Fax Number
601-894-5514
person
Provider Business Mailing Address Details
Address
201 N Haley St
City
Hazlehurst
State
Mississippi
Zip
39083
Phone Number
601-894-5509
Fax Number
601-894-5514
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.
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Definition
Definition to come...
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