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Licensee Information

Timothy Michael Gast - PA-C
102365
Active
Yes
01/24/1998
03/20/2027
See: Actions-Adverse & Administrative Tab

Active Supervisor

NameTypeStatusApprovedInactive
Blanchard, Matthew Bryant, MD MD Active 09/26/2023
White, Jeffrey Jason, MD MD Active 12/03/2019

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
South Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 12:05:54 PM
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