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Organization
FAMILY PRACTICE CLINIC OF WATER VALLEY
Active
Organization
FAMILY PRACTICE CLINIC OF WATER VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DRAGICA MILICEVIC MD (FAMILY PRACTICE)
(662) 473-4050
Entity
Organization
Contact information
Practice address
606 SO MAIN ST, WATER VALLEY, MS 38965
(662) 473-4050
(662) 473-4191
Mailing address
PO BOX 643, WATER VALLEY, MS 38965
(662) 473-4050
(662) 473-4191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18660
MS
Other
Enumeration date
10/23/2006
Last updated
08/12/2008
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