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Licensee Information

Allie Black Kelly - PA-C
0010-05675
Active
No
03/30/2015
07/23/2026

Active Supervisor

NameTypeStatusApprovedInactive
Jones, Carroll Payne, III, MD MD Active 09/10/2020
Shawen, Scott Brinton, MD MD Active 03/30/2017

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida
South Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:26:01 PM
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