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Licensee General Information Practice Information Education,
Certifications,
& Area of Practice Memberships,
Honors, Awards
& Public Service Academic Appointments
& Publications Actions - Adverse
& Administrative Malpractice Convictions
Licensee Information
Stacy C. Thiedeman - PA-C
102584
Active
No
01/23/1999
08/29/2025

Active Supervisor

NameTypeStatusApprovedInactive
Harr, Charles Dulaney, MD MD Active 06/20/2021
Thompson, Christopher Michael, MD MD Active 06/07/2024
Wesonga, Samuel M., MD MD Active 11/11/2020

North Carolina Hospital Admitting Privileges

Location
WakeMed
WakeMed Cary Hospital

Out of State Active/Inactive Licenses

State
North Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/20/2025 1:12:38 PM
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