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Licensee Information

Gregory Derrick Tallent - PA-C
0010-00359
Active
No
12/15/2005
04/09/2027

Active Supervisor

NameTypeStatusApprovedInactive
Azrak, Michael James, MD MD Active 02/11/2019
Knebl Kohl, Gisela E, MD MD Active 09/28/2021

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Maine
New York
Ohio
South Carolina
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 7:08:51 PM
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