Organization
ISD RENAL INC
Active
Organization
ISD RENAL INC
Active
Other names
Memphis Graceland Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WINSTEL (CHIEF ACCOUNTING OFFICER)
(253) 733-4501
Entity
Organization
Contact information
Practice address
4180 AUBURN RD, MEMPHIS, TN 38116-6202
(901) 332-8699
(901) 332-8234
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
02/17/2021
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