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Licensee Information
Ian Charles Black - PA-C
0010-10430
Active
No
08/17/2020
08/17/2025

Active Supervisor

NameTypeStatusApprovedInactive
Ho, Jonathan Ngoc, MD MD Active 10/05/2020
O'Neal, Brian Vaughan, MD MD Active 10/13/2023
True, Nicholas Alan, MD MD Active 06/07/2022

North Carolina Hospital Admitting Privileges

Location
Granville Medical Center
Johnston Medical Center Smithfield
Nash General Hospital
WakeMed
Wayne Memorial Hospital

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 1:26:10 AM

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