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Licensee General Information Practice Information Education,
Certifications,
& Area of Practice Memberships,
Honors, Awards
& Public Service Academic Appointments
& Publications Actions - Adverse
& Administrative Malpractice Convictions

Licensee Information

Traci Lynn Ballard - PA-C

License #:

0010-00926

License Status:

Active

Public Action:

No

Issue Date:

06/19/2007

Renewal Date:

04/07/2027

Active Supervisor

Name	Type	Status	Approved	Inactive
Fox, Matthew David, MD	MD	Active	02/13/2025

North Carolina Hospital Admitting Privileges

Location
Carolinas Medical Center- NE

Out of State Active/Inactive Licenses

State
Arizona
Colorado
Texas

Out of Country Active/Inactive Licenses

Country
None Reported

Information loaded from this database is current as of 5/10/2026 6:29:15 PM

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