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Licensee Information

Mamie Rene Henshaw - PA-C
0010-13066
Active
No
02/26/2023
04/03/2027

Active Supervisor

NameTypeStatusApprovedInactive
Hall, Timothy James, MD MD Active 07/23/2024
Hibma, Pierce Philip, MD MD Active 08/21/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
South Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 1:47:44 PM
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