200200874
Active
No
07/18/2002
05/30/2027
Active Supervisees
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Southern Dermatology
4201 Lake Boone Trl, Ste 200
Raleigh, NC 27607
919-782-2152
Information
Monday through Friday
Spanish
Yes
Yes
No
No
No
Medical School
| School | Graduation |
| Medical College of OH | 1998 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| Medical College of Wis | Dermatology |
WI, US
| Residency | 2002 |
| Medical College of Ohio | Internal Medicine |
OH, US
| Internship | 1999 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Dermatology | 2012 |
Area of Practice
| Area Of Practice | Primary |
| Dermatology | Yes |
| Pediatric Dermatology | |
Current Membership in Medical Professional Organizations
| Membership |
| American Academy of Dermatology |
| American Medical Association |
| American Society for Mohs Surgery (Fellow) |
| American Society of Dermatologic Surgery |
| NC Medical Society |
| Society of Pediatric Dermatology |
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |