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Organization
VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Active
Organization
VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTON D PERERA MD (AUTHORIZED OFFICIAL)
(901) 390-2930
Entity
Organization
Contact information
Practice address
1300 SUNSET DR STE P, GRENADA, MS 38901-4084
(901) 390-2930
Mailing address
1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208
(901) 390-2930
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
12/30/2024
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