Vascular and Vein Institute of the South, Pllc
NPI #1518652676 in Grenada, Mississippi
Provider Information
- NPI Number
- 1518652676
- Entity Type
- Organization
- Organization Name
- Vascular and Vein Institute of the South, Pllc
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Apr 5, 2023
- Last Updated
- Dec 30, 2024
Practice Location
- Address
- 1300 SUNSET DR STE P
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-4084
- Phone
- (901) 390-2930
Authorized Official
- Name
- ANTON D PERERA, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (901) 390-2930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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