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Licensee Details <br />North Carolina Medical Board <br />Information as of May 8, 2009 <br />Martha Christine Carlough, MD <br />Public File: NO <br />Current License Status: Active <br />License Number: 9300433 <br />Issue Date: 09/18/1993 <br />Limitations: <br />Address <br />University of North Carolina <br />Dept of Family Medicine <br />Manning Dr, CB 7595 <br />~h~pel, Hili, ;NG, 27599-7595 <br />Practice Phone: (919) 966-6055 <br />individual Information <br />Year of Birth: 1963 Annual Renewal Date: 11/1912009 <br />Prim~ij~~~~8~pecialty: Family Practice Board Certified: Yes ABMS or AOA Approved: Yes <br />Secbtidary,Specialty:~Obstetrics and Gynecology Board Certifled: Yes ABMS or AOA Approved: No <br />.-~ . . <br />AreaY's ~.,of :practise:,, ; .: <br />(.. ), . <br />Hospital Privileges: University of North Carolina Hospitals <br />Out Of State Llcenses: New York,Rhode Island,South Carolina <br />Out Of Country Licenses: Nepal <br />Tha.ab.ove.State:and Country Llcenses may be currently Active or Inactive <br />$~ch`ool Name Tvoe Grad Year <br />JetFersnn Medical College Medical School 1989 <br />Nllglilarid Hospital PGY1 1992 <br />,Hide Licensure History <br />Reason Code1. License <br />Number <br />9300433 <br />Supervises : Type <br />Garrett,. David PA <br />Bernart, D. PA <br />VAN$REE,RACHEL NP <br />Goldstein, Ami NP <br />Active License <br />Subcategory Issue Date Expire Date <br />09/18/1993 <br />Supervisor <br />Status Approval Date Inactive-Date <br />Inactive <br />Inactive <br />Active 09/15/2008 <br />Active 04/28/2006 <br />Page 1 of 1 <br />http://www.ncmedboard.org/Clients/NCBOM/Public/Licensee Details.aspx?&EntityID=58909&PublicFile... 5/8/2( <br />