Basic Information
Provider Information
NPI: 1831314780
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: MELISSA
MiddleName: SCALA
NamePrefix: DR.
NameSuffix:  
Credential: DPM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1022 LEE ANN DR NE
Address2:  
City: CONCORD
State: NC
PostalCode: 280252911
CountryCode: US
TelephoneNumber: 7048861918
FaxNumber: 7042572049
Practice Location
Address1: 4119 CAPITOL ST
Address2:  
City: DURHAM
State: NC
PostalCode: 277042153
CountryCode: US
TelephoneNumber: 9194779333
FaxNumber: 9194779389
Other Information
ProviderEnumerationDate: 04/16/2007
LastUpdateDate: 02/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213ES0103X504NCN Podiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
213ES0131X504NCN Podiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
213EP1101X504NCY Podiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine

No ID Information.


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