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Licensee Information

Tiv Ashanti Johnson - MD
2005-01614
Active
No
09/23/2005
07/01/2026

Active Supervisees

NameTypeStatusApprovedInactive
Groves, Stephen Logan Greenway Physician Assistant Active 10/27/2021
Phillips, Kelly Jones Physician Assistant Active 12/31/2013

North Carolina Hospital Admitting Privileges

Location
Carolinas Medical Center - Union

Out of State Active/Inactive Licenses

State
Arizona
New Jersey
Pennsylvania

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:23:58 PM
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