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Licensee Information

Tate Johnathan Phillips - PA-C
0010-14029
Active
No
03/01/2024
09/27/2026

Active Supervisor

NameTypeStatusApprovedInactive
Parvathareddy, Suneel Kumar, MD MD Active 03/01/2024

North Carolina Hospital Admitting Privileges

Location
Wake Forest Baptist Health-Wilkes 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 5/10/2026 4:35:40 PM
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