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Licensee Information

Graydon Frank Stallard - DO
2014-01062
Active
No
05/28/2014
02/21/2027

Active Supervisees

NameTypeStatusApprovedInactive
Capomaggi, Kelly Anne Physician Assistant Active 09/02/2026
Johnson, Jeremy Michael Physician Assistant Active 10/01/2026
Mcbride, Tatum Renee Physician Assistant Active 07/23/2026
Watlington, Courtney Michelle Physician Assistant Active 07/02/2026

North Carolina Hospital Admitting Privileges

Location
CaroMont Hospital, Inc.
Gaston Memorial Hospital

Out of State Active/Inactive Licenses

State
Florida
Illinois
South Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 11/11/2026 4:45:18 PM
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