Individual
MELISSA J. FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 CONCOURSE AVE STE 142, MEMPHIS, TN 38104-2020
(901) 272-0003
(901) 261-8836
Mailing address
1350 CONCOURSE AVE STE 142, MEMPHIS, TN 38104-2020
(901) 272-0003
(901) 261-8836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101252556
VA
207Q00000X
Family Medicine Physician
Primary
267568
MA
207Q00000X
Family Medicine Physician
Primary
57927
TN
207Q00000X
Family Medicine Physician
MD60178386
WA
Other
Enumeration date
07/21/2008
Last updated
04/14/2026
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