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Licensee Information

Michael Thomas Payne - PA-C
0010-15836
Active
No
09/25/2025
03/19/2027

Active Supervisor

NameTypeStatusApprovedInactive
Boiwka, Alexander Vondra, MD MD Active 09/25/2025
Mostak, Richard Grant, MD MD Active 09/25/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

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 4:15:48 PM
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