104120
Active
No
09/24/2004
03/28/2027
Active Supervisor
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
| State |
| Massachusetts |
| Ohio |
| Wisconsin |
Out of Country Active/Inactive Licenses
Address
Atrium Health Wake Forest Baptist Convenience Care - Premier
4515 Premier Drive
Suite 201
High Point, NC 27265-8356
336-802-2222
Information
Mon 8-7, Tues 8-7, Wed 7-7, Thurs 8-7, Fri 7-5 Sat
We see/treat patients of all age ranges from newborns to the geriatric population. Our emphasis is on prevention, healthy lifestyles and proper medical treatment, and follow up referrals to maintain general good health.
None
None
Yes
No
Yes
No
Yes
PA School
| School | Graduation |
| Alderson Broaddus College Physician Assistant Program | 1996 |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | Yes |
| Family Practice (and OMT) | |
Current Membership in Medical Professional Organizations
| Membership |
| AAPA |
| NCAPA |
| TAPA |
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 |