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Licensee Information
Shawn Michael Wagner - PA-C
101936
Active
No
06/26/1995
11/30/2025

Active Supervisor

NameTypeStatusApprovedInactive
Bunn, Barry Duke, MD MD Active 10/28/2013
Fletcher, James Colin, MD MD Active 01/29/2021
Stallings, Leonard Alexander, MD MD Active 03/30/2020
Tripp, Joseph Elliott, MD MD Active 03/23/2022

North Carolina Hospital Admitting Privileges

Location
Vidant Bertie Hospital
Vidant Chowan Hospital
Vidant Edgecombe
Vidant Medical Center
Vidant Roanoke-Chowan Hospital

Out of State Active/Inactive Licenses

State
Kentucky
Oklahoma
South Carolina
West Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 12/4/2024 6:03:09 PM

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