Individual
DR. JOSEPH WESLEY FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 MADISON AVE STE 200, MEMPHIS, TN 38103-3452
(901) 448-6650
(901) 302-2486
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
38005
OK
207W00000X
Ophthalmology Physician
Primary
65999
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001086
—
MS
05
—
200116317
—
MO
05
—
288529001
—
AR
05
—
Q076585
—
TN
Enumeration date
04/05/2017
Last updated
02/27/2025
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