0010-08793
Active
No
01/23/2019
09/17/2026
Active Supervisor
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
ApolloMD
240 Hospital Dr. NE
Bolivia, NC 28422
910-721-1700
Information
PA School
| School | Graduation |
| East Carolina University Physician Assistant Program | 2018 |
Area of Practice
| Area Of Practice | Primary |
| Addiction Psychiatry | |
| Adolescent & Young Adult Medicine | |
| Alcohol and Drug Abuse | |
| Cardiology | |
| Child Psychiatry | |
| Critical Care Pediatrics | |
| Critical Care Surgery | |
| Critical Care-Internal Medicine | |
| Dermatology | |
| Emergency Medicine | |
| Emergency Medicine - Medical Toxicology | |
| Emergency Medicine - Sports Medicine | |
| Emergency Medicine/Sports Medicine | Yes |
| Family Medicine | |
| General Surgery | |
| Orthopedic Sports Medicine | |
| Orthopedic Surgery | |
| Orthopedic Surgery, Trauma | |
| Psychiatry | |
| Sports Medicine | |
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 |