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Licensee Information

Michele Theresa Provost - PA-C
0010-02284
Active
No
11/01/2018
01/29/2027

Active Supervisor

NameTypeStatusApprovedInactive
Garg, Sanjay, MD MD Active 12/12/2021

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Massachusetts
New York
Rhode Island

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 7/29/2026 5:14:14 PM
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