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Organization

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTON D PERERA MD (CREDENTIALING SPECIALIST)
(901) 390-2930
Entity
Organization

Contact information

Practice address
2704 W OXFORD LOOP STE 110, OXFORD, MS 38655-5728
(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

Other

Enumeration date
04/05/2023
Last updated
12/30/2024
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