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Licensee General Information Practice Information Education,
Certifications,
& Area of Practice Memberships,
Honors, Awards
& Public Service Academic Appointments
& Publications Actions - Adverse
& Administrative Malpractice Convictions
Licensee Information
Shaw Timothy Locke - PA-C
0010-08699
Active
No
01/02/2019
05/12/2026

Active Supervisor

NameTypeStatusApprovedInactive
Collins, Amie Noelle, MD MD Active 08/21/2025
Liffrig, James Richard, MD MD Active 02/04/2025
Rosen, Robert Dean, MD MD Active 02/11/2025

North Carolina Hospital Admitting Privileges

Location
FirstHealth Moore Reg. Hosp. and Pinehurst Treatment

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 8/23/2025 9:54:06 PM
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