Organization
MILESTONE MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN BURDETTE III (OWNER)
(423) 883-1372
Entity
Organization
Contact information
Practice address
1329 LOLITA LN, CHATTANOOGA, TN 37421-3800
(423) 883-1372
(423) 654-9309
Mailing address
1329 LOLITA LN, CHATTANOOGA, TN 37421-3800
(423) 883-1372
(423) 654-9309
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
05/14/2026
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