Organization
ISD RENAL INC
Active
Parent organization
DAVITA INC
Other names
Chickasaw Gardens Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVITA INC
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6691
Entity
Organization
Contact information
Practice address
2980 POPLAR AVE STE 102, MEMPHIS, TN 38111-3531
(860) 690-2856
Mailing address
5200 VIRGINIA WAY, ATTN L&C, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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