Individual
DIANE MARIE DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5600 GOODMAN RD, SUITE C, OLIVE BRANCH, MS 38654-7002
(662) 893-6729
(662) 895-2489
Mailing address
PO BOX 750478, MEMPHIS, TN 38175-0478
(662) 893-6729
(662) 895-2489
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14338
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115163
—
MS
Enumeration date
11/15/2006
Last updated
11/18/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us