OrganizationActive
Perfusion Vascular Vidalia LLC
NPI 1356875637 · Vascular Surgery Physician · Vidalia, LA
Provider details
- NPI number
- 1356875637
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaun Carpenter, Owner(985) 892-7070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
107 Front St
Vidalia, LA 71373-2836
Phone: (985) 892-7070
Fax: (985) 892-7017
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1089
Hammond, LA 70404
Registry dates
- Enumerated
- 2017-04-13
- Last updated
- 2021-06-25
- Certified
- 2021-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.