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Licensee Information
Grayson Brent Mayberry - PA-C
0010-11780
Active
No
11/09/2021
11/09/2025

Active Supervisor

NameTypeStatusApprovedInactive
Vandermolen, Justin Lee, MD MD Active 11/09/2021
Wall, Benjamin Evans, MD MD Active 03/05/2024

North Carolina Hospital Admitting Privileges

Location
New Hanover Regional Medical Center
Novant Health Brunswick 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 7/12/2025 10:36:20 PM

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