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NPI Code Detail

MEDICARE: JAMES THOMAS ANSELL MD

MEDICARE: JAMES THOMAS ANSELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine Physician2025-03680NC

General Provider Information

NPI Number : 1982354320
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES THOMAS ANSELL MD
Provider Business Mailing Address
First Line : 300 WEST 27TH STREET
Second Line : PO BOX 1408
City : LUMBERTON
State : NC
Zip : 28359
Country : US
Telephone Number : 910-735-8783
Fax Number :
Provider Business Practice Location Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-735-8783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 03/04/2026

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