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Licensee Information

Shawn Michael Wagner - PA-C
101936
Active
No
06/26/1995
11/30/2026

Active Supervisor

NameTypeStatusApprovedInactive
Hutchinson, David Knox, MD MD Active 12/11/2025
Pendley, Emilie Elks, MD MD Active 10/20/2025
Stallings, Leonard Alexander, MD MD Active 03/30/2020
Surles, John William, MD MD Active 10/20/2025
Tripp, Joseph Elliott, MD MD Active 03/23/2022

North Carolina Hospital Admitting Privileges

Location
ECU Health
Vidant Bertie Hospital
Vidant Chowan Hospital
Vidant Edgecombe
Vidant Roanoke-Chowan Hospital

Out of State Active/Inactive Licenses

State
Kentucky
Oklahoma
South Carolina
West Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 1:41:12 PM

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