Organization
PERFUSION VASCULAR HAMMOND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN R CARPENTER MD (CEO)
(985) 892-7070
Entity
Organization
Contact information
Practice address
16065 LAMONTE DR, HAMMOND, LA 70403-1405
(985) 892-7070
(985) 892-7017
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
06/25/2021
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