Organization
ISD RENAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HILGER (CHIEF ACCOUNTING OFFICER)
(310) 536-2400
Entity
Organization
Contact information
Practice address
5506 PLATT SPRINGS RD, LEXINGTON, SC 29073-7518
(615) 928-3583
Mailing address
5200 VIRGINIA WAY, BRENTWOOD, TN 37027-7569
(615) 925-3583
(800) 335-3051
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
SC
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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