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Organization

VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC

Active
Parent organization
VASCULAR AND VEIN INSTITUTE OF THE SOUTH, PLLC
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
02/15/2023
Last updated
12/30/2024
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