Family Practice Clinic of Water Valley
NPI #1255414173 in Water Valley, Mississippi
Provider Information
- NPI Number
- 1255414173
- Entity Type
- Organization
- Organization Name
- Family Practice Clinic of Water Valley
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 606 SO MAIN ST
- City
- Water Valley
- State
- Mississippi
- ZIP Code
- 38965
- Phone
- (662) 473-4050
Authorized Official
- Name
- DRAGICA MILICEVIC, MD
- Title
- FAMILY PRACTICE
- Phone
- (662) 473-4050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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