# MED-NET HEALTHCARE AFFILIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROMEDICA CLINIC, PC / MAX FONER, MD, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285711614
- **Authorized official:** MAX FONER M.D. (PRESIDENT, MEDICAL DIRECTOR)
- **Authorized official phone:** (901) 526-7695

## Contact information

- **Practice address:** 361 N 3RD ST, MEMPHIS, TN 38105-2710
- **Practice address phone:** (901) 526-7695
- **Practice address fax:** (901) 525-4483
- **Mailing address:** 361 N 3RD ST, MEMPHIS, TN 38105-2710
- **Mailing address phone:** (901) 526-7695
- **Mailing address fax:** (901) 525-4483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 03/27/2011