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Organization

WATER VALLEY MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOJAN MILICEVIC M.D. (OWNER)
(662) 473-1140
Entity
Organization

Contact information

Practice address
712 S MAIN ST, WATER VALLEY, MS 38965-3334
(662) 473-1140
(662) 473-1138
Mailing address
411 KIMMONS ST, WATER VALLEY, MS 38965-2404
(662) 473-1140
(662) 473-1138

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/15/2006
Last updated
08/22/2020
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