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Licensee Information

Sophia Grace Caccavale - PA-C
0010-07997
Active
No
03/29/2018
05/17/2027

Active Supervisor

NameTypeStatusApprovedInactive
Miller, Preston Roy, III, MD MD Active 01/10/2023

North Carolina Hospital Admitting Privileges

Location
Wake Forest Baptist 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 8:06:15 PM
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