Individual
MELISSA BALL FONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
493 DR ML KING JR AVE, MEMPHIS, TN 38126-2548
(901) 526-0802
(901) 525-4483
Mailing address
215 BUNTYN ST, MEMPHIS, TN 38111-1609
(901) 652-4250
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2811
TN
Other
Enumeration date
08/24/2015
Last updated
07/21/2022
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