Individual
DANECA M. DIPAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
965 AVENT DR STE 101, GRENADA, MS 38901-5045
(662) 227-7794
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18542
MS
207X00000X
Orthopaedic Surgery Physician
59289
TN
207XS0106X
Orthopaedic Hand Surgery Physician
18542
MS
207XS0106X
Orthopaedic Hand Surgery Physician
59289
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05650271
—
MS
05
—
1518049
—
TN
01
—
792467
MEDICARE
MS
Enumeration date
07/07/2006
Last updated
10/20/2025
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