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Licensee Information

Blaine Colby Etzel - PA-C
0010-10604
Active
No
09/17/2020
01/07/2027

Active Supervisor

NameTypeStatusApprovedInactive
Kerner, Paul Jason, MD MD Active 04/11/2022
Romine, Lucas Brandon, MD MD Active 09/18/2020

North Carolina Hospital Admitting Privileges

Location
Johnston Memorial Hospital
North Carolina Specialty Hospital

Out of State Active/Inactive Licenses

State
Montana
Washington

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 6:29:24 PM
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