Organization
TANNOR DIALYSIS LLC
Active
Other names
Campbell Station Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
111 S CAMPBELL STATION RD, FARRAGUT, TN 37934-2845
(865) 777-2750
(865) 777-2755
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442721
—
TN
Enumeration date
08/06/2013
Last updated
04/09/2026
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