Provider Demographics
NPI:1821474628
Name:MELISSA THINGVOLL MD PLLC
Entity Type:Organization
Organization Name:MELISSA THINGVOLL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:THINGVOLL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-337-2590
Mailing Address - Street 1:7 YELLOW OWL DR
Mailing Address - Street 2:
Mailing Address - City:BILTMORE LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28715-8970
Mailing Address - Country:US
Mailing Address - Phone:828-337-2590
Mailing Address - Fax:828-575-5448
Practice Address - Street 1:7 YORKSHIRE ST STE 101
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2798
Practice Address - Country:US
Practice Address - Phone:828-337-2590
Practice Address - Fax:828-575-5448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-003032080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty