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2009-056 Health - Department of Family Medicine UNC - Agreement for Medical Director Services
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2009-056 Health - Department of Family Medicine UNC - Agreement for Medical Director Services
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Last modified
7/28/2009 4:18:01 PM
Creation date
7/28/2009 4:17:59 PM
Metadata
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Template:
BOCC
Date
6/2/2009
Meeting Type
Regular Meeting
Document Type
Agreement
Agenda Item
4n
Document Relationships
Agenda - 06-02-2009 - 4n
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Path:
\Board of County Commissioners\BOCC Agendas\2000's\2009\Agenda - 06-02-2009
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Licensee Details <br />North Carolina Medical Board <br />Information as of May 8, 2009 <br />Cristen Parker Page, MD <br />Public File: NO <br />Current License Status: Active <br />License Number: 2005-01187 <br />Issue Date: 07/22/2005 <br />Limitations: <br />Address <br />UNC Family Practice Center <br />CB 7595 <br />Chapel Hill, NC 27599-7595 <br />Rractice Phone: (919) 843-2284 <br />Individual Information <br />Year of Birth: 1974 Annual Renewal Date: 06/17/2010 <br />Primary Specialty; Family Practice Board Certified: Yes ABMS or AOA Approved: Yes <br />Secondary Specialty: <br />Area(s) of Practice: Family Medicine <br />Family Medicine -Adolescent Medicine <br />Obstetrics <br />Pediatrics <br />Hospital Privileges: University of North Carolina Hospitals <br />Out Of State Licenses: <br />Out Of Country Licenses: <br />The above State and Country Licenses may be currently Active or Inactive <br />School Name <br />UNC Hospitals <br />University of North Carolina at <br />Chapel H111 School of Medicine <br />Tvpe Grad Year <br />PGY2 <br />Medical School 2002 <br />Hide Licensure History.:., ,. <br /> Active License <br />Reason Code License Subcategory Issue Date Expire Date <br />Number <br />2005-01187 07/22/2005 <br /> Inactive License <br />Reason Code License Subcategory Issue Date Expire Date <br />Number <br /> RTL 05131!2002 07/22/2005 <br />Page 1 of 1 <br />http:/lwww.ncmedboard.org/Clients/NCBOM/Public/Licensee Details.aspx?&EntityID=8746&PublicFile=1 5/8/2C <br />
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