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Licensee Information
Stacy Benton Lewis, Jr. - MD
31859
Inactive
No
10/03/1987
12/19/2022

Licensee Photograph

Active Supervisees

NameTypeStatusApprovedInactive
None Reported

North Carolina Hospital Admitting Privileges

Location
Granville Health System
Granville Medical Center

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 4/16/2025 2:50:15 AM

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