| Milicia A. Tedder | |
|
115 E Harden St Ste 103 Graham NC 27253-3001 | |
| (336) 569-0420 | |
| Not Available |
| Full Name | Milicia A. Tedder |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 115 E Harden St Ste 103, Graham, North Carolina |
| Authorized Official Name and Position | Milicia Tedder (LPA) |
| Authorized Official Contact | 3365690420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milicia A. Tedder 4093 Dunkirk Dr Burlington NC 27215-0106 Ph: (919) 697-1674 | Milicia A. Tedder 115 E Harden St Ste 103 Graham NC 27253-3001 Ph: (336) 569-0420 |
| NPI Number | 1184372914 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184372914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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