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Licensee Information

Tiara DanTrell Good-Greene - PA-C
0010-12698
Active
No
10/13/2022
01/15/2027

Active Supervisor

NameTypeStatusApprovedInactive
Defeo, David, MD MD Active 11/05/2022

North Carolina Hospital Admitting Privileges

Location
Forsyth 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 5/11/2026 8:44:35 AM
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