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Licensee Information
Khyan Chrionya Mashay Waddell - PA-C
0010-10685
Active
No
10/07/2020
08/25/2025

Active Supervisor

NameTypeStatusApprovedInactive
Goodwin, Courtney Rory, MD MD Active 06/14/2022

North Carolina Hospital Admitting Privileges

Location
None Reported

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 6/14/2025 12:47:37 AM

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