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Licensee Information

Blaine David Buchanan - PA-C
0010-05930
Active
No
07/22/2024
07/16/2026

Active Supervisor

NameTypeStatusApprovedInactive
Ellman, Peter Isaac, MD MD Active 07/22/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida
South Carolina
Virginia
Washington

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/11/2026 9:36:38 AM
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