Provider Demographics
NPI:1841506144
Name:DOANE, DARRELL
Entity type:Individual
Prefix:
First Name:DARRELL
Middle Name:
Last Name:DOANE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 REDDOCH CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-3614
Mailing Address - Country:US
Mailing Address - Phone:901-682-8600
Mailing Address - Fax:901-685-5114
Practice Address - Street 1:999 REDDOCH CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3614
Practice Address - Country:US
Practice Address - Phone:901-682-8600
Practice Address - Fax:901-685-5114
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care