Organization
FAMILY PRACTICE CLINIC OF WATER VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE W WALBER MD (INTERNAL MEDICINE)
(662) 473-4050
Entity
Organization
Contact information
Practice address
606 S MAIN ST, 606 S 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119078
—
MS
Enumeration date
12/13/2006
Last updated
11/23/2007
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