Organization
FAMILY MEDICAL THERAPIES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MIRANDA MD (OWNER)
(423) 243-8196
Entity
Organization
Contact information
Practice address
88 STUART RD STE 88, FT OGLETHORPE, GA 30742-4047
(423) 521-5404
(423) 910-0379
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
70270
GA
Other
Enumeration date
09/09/2016
Last updated
02/09/2020
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