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Licensee Information

Ryan Sidney Anderson - PA-C
0010-09674
Active
No
01/03/2020
08/31/2027

Active Supervisor

NameTypeStatusApprovedInactive
Utecht, Michael Jonathan, MD MD Active 09/08/2023

Team Based Practice (TBP)

TBP Address
NameAddress 1Address 2CityStateZip
FAST MED URGENT CARE310 S Stratford RdSuite 120Winston SalemNC27103
TBP Specialty
SpecialtyType
Urgent CarePrimary

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 7/29/2026 9:00:49 AM
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