Healthcare Provider Details

I. General information

NPI: 1093419491
Provider Name (Legal Business Name): MELINA VERONICA SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 MANNING DRIVE CAMPUS BOX 7305
CHAPEL HILL NC
27599-7305
US

IV. Provider business mailing address

170 MANNING DRIVE CAMPUS BOX 7305
CHAPEL HILL NC
27599-7305
US

V. Phone/Fax

Practice location:
  • Phone: 919-843-7709
  • Fax: 919-966-6735
Mailing address:
  • Phone: 919-843-7709
  • Fax: 919-966-6735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2026-01907
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: