| Water Valley Medical Clinic Llc | |
|
712 S Main St Water Valley MS 38965-3334 | |
| (662) 473-1140 | |
| (662) 473-1138 |
| Full Name | Water Valley Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 712 S Main St, Water Valley, Mississippi |
| Authorized Official Name and Position | Bojan Milicevic (OWNER) |
| Authorized Official Contact | 6624731140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Water Valley Medical Clinic Llc 411 Kimmons St Water Valley MS 38965-2404 Ph: (662) 473-1140 | Water Valley Medical Clinic Llc 712 S Main St Water Valley MS 38965-3334 Ph: (662) 473-1140 |
| NPI Number | 1487605499 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487605499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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