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Licensee Information
Kelly Rayburn Johnson - PA-C
0010-08012
Active
No
04/04/2018
11/04/2025

Active Supervisor

NameTypeStatusApprovedInactive
Wakefield, Matthew Charles, MD MD Active 04/12/2018
Wakefield, Matthew Charles, MD MD Active 04/12/2018

North Carolina Hospital Admitting Privileges

Location
Moses H. Cone Memorial Hospital
Wesley Long Community Hospital, Inc.

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 12/4/2024 1:25:56 AM

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