Individual
DR. ELLIS A TINSLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 SHIPYARD BLVD STE 200, WILMINGTON, NC 28403-8019
(910) 769-2583
(910) 769-3531
Mailing address
1717 SHIPYARD BLVD STE 210, WILMINGTON, NC 28403-8019
(910) 769-2583
(910) 769-3531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35569
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8983563
—
NC
Enumeration date
01/20/2006
Last updated
10/12/2021
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