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Organization
METROPOLITAN MILESTONES CENTER, LLC
Active
Organization
METROPOLITAN MILESTONES CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PATTERSON TUCKER MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(336) 613-2203
Entity
Organization
Contact information
Practice address
2199 MOIR MILL RD, REIDSVILLE, NC 27320-8074
(336) 627-0934
Mailing address
155 GLENDALE CIRCLE, EDEN, NC 27288
(336) 613-2203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326493628
—
NC
Enumeration date
01/19/2017
Last updated
01/19/2017
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