| Balanced Life MD | |
|
329 Ault Rd Ste B Signal Mountain TN 37377-3126 | |
| (423) 521-5404 | |
| (706) 406-2922 |
| Full Name | Balanced Life MD |
|---|---|
| Speciality | Family Medicine |
| Location | 329 Ault Rd Ste B, Signal Mountain, Tennessee |
| Authorized Official Name and Position | Paul a Miranda (SOLE OWNER) |
| Authorized Official Contact | 4235215404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Life MD 6 Rock Crest Dr Signal Mountain TN 37377-2302 Ph: (423) 521-5404 | Balanced Life MD 329 Ault Rd Ste B Signal Mountain TN 37377-3126 Ph: (423) 521-5404 |
| NPI Number | 1073940938 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 02/09/2020 |
| Certification Date | 02/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073940938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
John D Cranwell MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Taft Hwy, Suite 100, Signal Mountain, TN 37377 Phone: 423-886-2004 Fax: 423-886-7803 |