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Licensee Information

Elizabeth Boles Blankenship - PA-C
0010-00477
Active
No
06/14/2006
12/30/2026

Active Supervisor

NameTypeStatusApprovedInactive
Keates, William Alden, MD MD Active 06/01/2023
Suyderhoud, Johan Pieter, MD MD Active 01/31/2025

North Carolina Hospital Admitting Privileges

Location
North Carolina Baptist Hospital-Wake Forest Baptist Medical Center
Wake Forest Baptist Health-Davie Hospital
Wake Forest Baptist Health-Lexington Medical Center
Wake Forest Baptist Medical Center
Wake Forest University

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 1:42:11 PM
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