Organization
FAMILY MEDICAL THERAPIES, PLLC
Active
Other names
Balanced Life MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A MIRANDA MD (SOLE OWNER)
(423) 521-5404
Entity
Organization
Contact information
Practice address
329 AULT RD STE B, SIGNAL MOUNTAIN, TN 37377-3126
(423) 521-5404
(706) 406-2922
Mailing address
6 ROCK CREST DR, SIGNAL MOUNTAIN, TN 37377-2302
(423) 521-5404
(706) 406-2922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Enumeration date
10/08/2013
Last updated
02/09/2020
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