102911
Active
No
01/22/2000
06/19/2027
Active Supervisor
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Wake Forest Baptist Health
1920 W. First Street
Winston-Salem, NC 27101
336-716-4479
www.wfuhealth.edu
Information
Monday-Friday
I treat all ages, but especially enjoy managing chronic illnesses, and value the relationships that develop from patient care.
Yes
No
Yes
No
Yes
PA School
| School | Graduation |
| None Reported |
Area of Practice
| Area Of Practice | Primary |
| Dermatology | |
| Family Medicine | Yes |
| Family Medicine - Adolescent Medicine | |
| Family Medicine - Geriatric Medicine | |
| Family Medicine - Sports Medicine | |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| Clinical Excellence Award | Wake Forest PA Progam | 2001 |
Public Service
| Name of Clinic | Service Description | Date |
| India, Africa | medical missions | 2002, 2004 |
Current Academic Appointments
| Title | Institution | City, State, Country |
| preceptor | WFU PA program |
Winston-Salem, 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 |