Organization · Type 2 NPI

Isd Canton LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Canton, GA

NPI number 1366480832 Active

Practice location

260 Hospital Rd
Canton, GA 30114-2409

Call (678) 880-3939 Map

Fax (770) 479-9466

Mailing address

5200 Virginia Way, L & C Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	ESRD001260 (GA)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

2 other providers at this address

Isd Renal IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Canton, GA NPI 1134637747
Elaine Charlotte Simms, LCSWClinical Social Worker Canton, GA NPI 1154514024

Other end-stage renal disease (esrd) treatment clinic/center providers in Canton

See all in Canton →

NPI record

NPI: 1366480832
Entity type: Organization (Type 2)
Issued: Jun 4, 2006
Last updated: Aug 9, 2024
Status: Active

Other names

<unavail>
Northwest Georgia Dialysis · doing business as
Northwest Georgia Dialysis · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366480832

Isd Canton LLC's National Provider Identifier is 1366480832, issued on Jun 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Canton, GA. The record was last updated on Aug 9, 2024.