0010-00822
Active
No
02/21/2007
03/20/2027
Active Supervisor
North Carolina Hospital Admitting Privileges
| Location |
| Forsyth Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Novant Employer Solutions Department
2000 Lowery St Suite 150
Winston Salem, NC 27101
336-727-2305
Information
Monday-Friday
Yes
Yes
Yes
Yes
PA School
| School | Graduation |
| East Carolina University Physician Assistant Program | 2006 |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | |
| Occupational Medicine | Yes |
| Preventive Medicine/Occupational | |
| Public Health & General | |
Current Membership in Medical Professional Organizations
| Membership |
| American Academy of Physician Assistants |
| National Commission on Certification of Physician Assistants |
| NC Academy of Physician Assistants |
Honors & Awards
| Honor/Award | Given By | Date |
| Outstanding PA student for 2006 class | East Carolina Physician Assistant Dept | 2006 |
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 |