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Licensee Information

Disney Kulachati Samutsakorn - PA-C
0010-14417
Active
No
08/05/2024
08/03/2026

Active Supervisor

NameTypeStatusApprovedInactive
Baucom, Harrison Bierman, DO DO Active 09/09/2024
Ferro, Richard T., MD MD Active 10/07/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Texas

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/11/2026 6:32:28 AM
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