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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth Patel Shital 270993 MD 02/15/2016 02/09/2016 1981 Pamplona Michael 009633 PA 11/26/2015 11/23/2015 1981 Ugoeke Joseph C 273851 MD 08/06/2015 07/30/2015 1981 Potouridis Maria 009478 PA 02/11/2013 02/04/2013 1981 Jones Brittany Pardue 257384 MD 11/21/2012 11/14/2012 1981 Boyarsky Justin S 009522 PA 10/19/2012 10/12/2012 1981 Reyes Jeffrey 009420 PA 05/31/2010 05/25/2010 1981 Tzimas Konstantine N. 255305 MD 10/24/2023 10/17/2023 1980 Graybill Jennifer L. 266937 DO 05/10/2023 05/03/2023 1980 McKay Jeremy L. 270031 MD 05/02/2023 04/25/2023 1980 Beniasians Corrine Sona 013202 PA 04/17/2023 04/10/2023 1980 Beniasians Corinne Sona 013202 PA 04/17/2023 04/10/2023 1980 White Bonnie R. 264922 MD 02/28/2023 02/22/2023 1980 D'Silva Ashley James 290445 MD 06/01/2017 09/14/2022 1980 Atkinson Michael M. 010113 PA 09/05/2022 08/29/2022 1980 Parks Megan 022055 PA 05/03/2022 04/29/2022 1980 Keefe James Thomas 263895 MD 03/30/2022 03/23/2022 1980 Carlson Jessica R. 268889 MD 09/24/2021 09/17/2021 1980 Patel Krishma Suryakant 011875 PA 07/15/2021 07/08/2021 1980 Richardson Steven 023440 PA 12/16/2020 12/09/2020 1980 [First/Prev] 5,6,7,8,9,10,11,12 [Next/Last]

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