Individual
GRACE BALSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 TYSON AVE STE B, PARIS, TN 38242-4555
(731) 407-7650
Mailing address
4224 WAYMAR DR, MEMPHIS, TN 38117-2342
(901) 734-8000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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