Water Valley Medical Clinic LLC
NPI #1487605499 in Water Valley, Mississippi
Provider Information
- NPI Number
- 1487605499
- Entity Type
- Organization
- Organization Name
- Water Valley Medical Clinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 712 S MAIN ST
- City
- Water Valley
- State
- Mississippi
- ZIP Code
- 38965-3334
- Phone
- (662) 473-1140
Authorized Official
- Name
- BOJAN MILICEVIC, M.D.
- Title
- OWNER
- Phone
- (662) 473-1140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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