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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up