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Licensee Information

Blake Alexander Mattox - PA-C
0010-09476
Active
No
09/18/2019
06/23/2026

Active Supervisor

NameTypeStatusApprovedInactive
Petrilli, Andrew Robert, MD MD Active 09/02/2025

North Carolina Hospital Admitting Privileges

Location
Wake Forest Baptist Health - High Point Regional Medical Center
Wake Forest Baptist 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 5/10/2026 3:19:36 PM
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