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Licensee Information

Sandy Ghannam - PA-C
0010-13703
Active
No
10/19/2023
07/12/2026

Active Supervisor

NameTypeStatusApprovedInactive
Bolden, Jason Edward, MD MD Active 11/04/2023

North Carolina Hospital Admitting Privileges

Location
Atrium Health Mercy
Atrium Health SouthPark Emergency Department
Carolinas Medical Center Mercy/Pineville
Carolinas Medical Center University
Carolinas Medical Center-Lincoln

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 12:59:53 PM
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