0010-05696
Active
No
04/15/2015
01/29/2027
Active Supervisor
North Carolina Hospital Admitting Privileges
| Location |
| The Outer Banks Hospital, Inc. |
| Vidant Bertie Hospital |
| Vidant Chowan Hospital |
| Vidant Roanoke-Chowan Hospital |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
ECU Health Chowan Hospital
211 Virginia Road
PO Box 629
Edenton, NC 27932
252-482-8451
www.vidanthealth.com/chowan/default.aspx
Information
PA School
| School | Graduation |
| Saint Louis University Physician Assistant Program | 2014 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | Yes |
| Family Medicine | |
Current Membership in Medical Professional Organizations
| Membership |
| American 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 |
| 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 |