Basic Information
Provider Information
NPI: 1861718074
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOFFMAN
FirstName: MELISSA
MiddleName: RED
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 509 BILTMORE AVE
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288014601
CountryCode: US
TelephoneNumber: 8282574472
FaxNumber:  
Practice Location
Address1: UNC CHAPEL HL
Address2: 4008 BURNETT-WOMACH BUILDING CB 7228
City: CHAPEL HILL
State: NC
PostalCode: 275997228
CountryCode: US
TelephoneNumber: 9199664389
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2010
LastUpdateDate: 01/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208600000X2016-01650NCY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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