104017
Active
No
05/19/2004
07/14/2027
Active Supervisor
North Carolina Hospital Admitting Privileges
| Location |
| Annie Penn Hospital |
| Moses Cone Health System |
| Wesley Long Community Hospital, Inc. |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Wake Forest Univ School of Medicine
1200 N Elm St
PO Box 10467
Greensboro, NC 27404-0467
336-207-7005
Information
24 hours a day, 7 days a week
"I treat all age groups and health conditions in an Emergency Medicine setting under the supervision of a physician."
PA School
| School | Graduation |
| The College of Health Sciences Physician Assistant Program | 2000 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | Yes |
Current Membership in Medical Professional Organizations
| Membership |
| National Commission on Certification of Physician Assistants |
| North Carolina Academy of Physician Assistants |
| Society of Emergency Medicine Physician Assistants |
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 |
| Physician Assistant | Wake Forest Univ School of Medicine |
Greensboro, NC, US
|
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 |