9700796
Active
No
05/24/1997
05/31/2027
Active Supervisees
North Carolina Hospital Admitting Privileges
| Location |
| New Hanover Regional Medical Center |
Out of State Active/Inactive Licenses
| State |
| South Carolina |
| Virginia |
Out of Country Active/Inactive Licenses
Address
ECAA
2800 Ashton Dr, Ste 100
Wilmington, NC 28412
910-794-8892
Information
Monday through Friday
Yes
Yes
Yes
Yes
Yes
Medical School
| School | Graduation |
| Bowman Gray | 1993 |
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 Virginia | Physical Medicine and Rehabilitation |
NC, US
| Residency | 1997 |
| Riverside Medical Center | Other - Transitional Internship |
VA, US
| Internship | 1994 |
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 |
| Pain Medicine | 1 |
| Physical Medicine and Rehabilitation | 2019 |
Area of Practice
| Area Of Practice | Primary |
| Physical Medicine & Rehab - Pain Medicine | Yes |
| Physical Medicine and Rehabilitation | |
Current Membership in Medical Professional Organizations
| Membership |
| International Spinal Injection Society |
| New Hanover/Pender Medical Society |
| North Carolina Medical Society |
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 |