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Licensee Information

Praveen Mannam - MD
2016-00544
Active
No
04/01/2016
12/16/2026

Active Supervisees

NameTypeStatusApprovedInactive
Autry, Lauren Elizabeth Physician Assistant Active 09/03/2024
Eubanks, Katalina Marie Nurse Practitioner Active 04/11/2022
Hicks, Samantha Blake Nurse Practitioner Active 03/20/2024
Hoffman, Paul William Nurse Practitioner Active 08/30/2021
Latta, Marc Travis Physician Assistant Active 12/18/2024
Woods, Aaron Blaine Physician Assistant Active 10/14/2024

North Carolina Hospital Admitting Privileges

Location
Alamance Regional Medical Center
Moses Cone Health System
Wesley Long Community Hospital, Inc.

Out of State Active/Inactive Licenses

State
Connecticut

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 9/22/2026 1:01:50 PM
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