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Licensee Information

Carolyn Keller - PA-C
0010-10277
Active
No
06/20/2020
08/25/2026

Active Supervisor

NameTypeStatusApprovedInactive
Cohen, Max William, MD MD Active 12/09/2020
Saullo, Thomas Robert, MD MD Active 12/10/2020
Torrealba, Ruben, MD MD Active 12/10/2020

North Carolina Hospital Admitting Privileges

Location
Forsyth Medical Center
Novant Health Kernersville Medical Center
Wake Forest Baptist Health - High Point Regional 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 5/13/2026 6:06:44 PM
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