| NPI | 1073940938 |
|---|---|
| Doing Business As | BALANCED LIFE MD |
| Entity Type | Organization |
| Authorized Contact | PAUL A MIRANDA Sole Owner 423-521-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2020-02-09 |