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Licensee Information

Jeffrey Mark Wiggins - PA-C
104041
Active
No
06/25/2004
11/05/2026

Active Supervisor

NameTypeStatusApprovedInactive
Agner, David Marshal, MD MD Active 06/16/2008
Rup, Nicole Fray, MD MD Active 08/08/2014
Shall, Matthew Bradley, MD MD Active 09/27/2007

North Carolina Hospital Admitting Privileges

Location
Carolinas Medical Center
Carolinas Medical Center Mercy/Pineville
Carolinas Medical Center- NE
Carolinas Rehabilitation

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 7:28:54 PM
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