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Licensee Information

Side Mitchell Mack, Jr. - PA-C
0010-00323
Active
No
10/28/2005
08/29/2026

Active Supervisor

NameTypeStatusApprovedInactive
Holland, John Chadley, DO DO Active 06/06/2024

North Carolina Hospital Admitting Privileges

Location
Forsyth Medical Center

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 5/10/2026 3:26:35 PM
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