ISD RENAL INC is an end-stage renal disease (esrd) treatment clinic center in Canton, MS. ISD RENAL INC NPI is 1083669089. The provider is registered as an organization entity type.
The provider Is Doing Business As Canton Renal Center.
The provider's business location address is:
620 E PEACE ST
CANTON, MS
ZIP 39046
Phone: (601) 859-3382
Fax: (601) 859-8591
The provider's authorized official is Samuel Wey .
The authorized official title is Vp Licensure & Certification and has the following contact phone number (615) 341-6641.
The CLIA number assigned to this NPI record is 25D0693217 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/24/2006 and was last updated on 11/28/2023.