# VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780381103
- **Legal business name:** VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
- **Authorized official:** ANTON D PERERA MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (901) 390-2930

## Contact information

- **Practice address:** 403 GETWELL DR, SENATOBIA, MS 38668-2213
- **Practice address phone:** (901) 390-2930
- **Mailing address:** 1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 12/30/2024