Individual
DR. THELLIE RUPERT AINSLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
(910) 715-4493
Mailing address
PO BOX 8500, PINEHURST, NC 28374-8500
(910) 715-1010
(910) 715-1026
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25545
NC
208M00000X
Hospitalist Physician
Primary
25545
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110199352
PALMETTO GBA RAILROAD MEDICARE
NC
05
—
8910451
—
NC
Enumeration date
04/03/2007
Last updated
04/16/2013
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