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Provider Information for 1174661441


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Mrs. MELISSA ANN DOAN Med


Other Names:  
Former Name: 
Miss MELISSA ANN COCHRAN Med

Sex: Female

NPI: 1174661441
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1174661441
Enumeration Date2007-02-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 9054
GRAY, TN 37615-9054
United States

Phone: 423-467-3600 | Fax:423-467-3696
 
Primary Practice Address ROUTE 3 BOX 1700
LEE COUNTY BEHAVIORAL HEALTH
JONESVILLE, VA 24263
United States

Phone: 276-346-3590 | Fax:276-346-3612
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101Y00000X - Counselor