NPI 1093888661

Diane Marie Donohue, MD

Practitioner Dermatology Physician Olive Branch, MS

Practice location

Address: 5600 Goodman Rd Suite C, Olive Branch, MS 38654-7002
Phone: (662) 893-6729
Fax: (662) 895-2489
Mailing address: PO Box 750478, Memphis, TN 38175-0478

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 14338 (MS)

Other Dermatology providers in Mississippi →

Registry record

NPI: 1093888661
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2006
Record last updated: 18 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.