2010-00350
Active
No
03/10/2010
02/22/2027
Active Supervisees
North Carolina Hospital Admitting Privileges
| Location |
| Southeastern Regional Medical Center |
Out of State Active/Inactive Licenses
| State |
| Alabama |
| Arizona |
| California |
| Colorado |
| Florida |
| Georgia |
| Hawaii |
| Illinois |
| Indiana |
| Nevada |
| New Jersey |
| Ohio |
| Oklahoma |
| Oregon |
| Pennsylvania |
| South Carolina |
| Tennessee |
| Texas |
| Virginia |
| Washington |
Out of Country Active/Inactive Licenses
Address
Family Urgent Care
3007 Wesley Chapel Stouts Rd, Ste B
Monroe, NC 28110
704-412-3612
www.familyurgentcare.com
Information
Medical School
| School | Graduation |
| Philadelphia College of Osteopathic Medicine | 1991 |
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 |
| Midwestern University | Emergency Medicine |
IL, US
| Residency | 1995 |
| Philadelphia College of Osteopathic Medicine | Other - Rotating Internship |
PA, US
| Internship | 1992 |
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 |
| Emergency Medicine | 2017 |
| Urgent Care | 2018 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | Yes |
Current Membership in Medical Professional Organizations
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 |