Licensee Information

Information as of 06/18/2013

Last Updated by Licensee on 06/15/2013

Alton Ray Anderson - MD

License#:	24334	License Status:	Active	Expire Date:
Issue Date:	08/16/1980	Renewal Date:	07/09/2014

Licensee General InformationPractice Information Education, Certifications & Area of Practice Memberships, Honors, Awards, & Public Service Academic Appointments & Publications Actions – Regulatory Board, Agency, & Health Care Institution Malpractice Convictions

Licensee General Information

Licensee Limitations

License Limitations:

North Carolina Hospital Admitting Privileges

None Reported

Out of State Active/Inactive Licenses

Maryland

North Carolina

Out of Country Active/Inactive Licenses

None Reported

Year of Birth: 1949

Education, Certifications & Area of Practice

Medical School

UNC-CH

Year of Graduation:

1977

Post Graduate Training

"Last Year of Training" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
Institution	Specialty	State	Country	Training Program	Last Year of Training
Seventh Day Adventist Hospital	family practice	maryland	usa	Residency	1980

Current ABMS or AOA Board Certification and Year of Certification/Recertification

Primary/Subspecialty	Year
Family Practice (and OMT)	2004

Area of Practice

Area Of Practice	Primary Area of Practice
Family Practice	Yes
Family Practice (and OMT)
Geriatrics

Years of active clinical practice:

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

This section indicates whether the North Carolina Medical Board has taken public action regarding the licensee. Actions may or may not be disciplinary in nature. Click on the link or links below to see an electronic copy of public documents associated with the licensee.

Certain public documents, such as hearing transcripts, are not posted on this site but may be obtained by contacting the Board.

NCMB public actions are posted on this site indefinitely.

Date	Description	Link
10/02/2012	Order for Relief of Obligations	View
06/27/2011	Consent Order	View

North Carolina Medical Board Reentry Agreement

None Reported

Other Regulatory Board or Agency Public Actions

None Reported

Health Care Institution Suspensions and Revocations

None Reported

State of North Carolina	(252) 399-2112
Long Leaf Neuro-Medical
4761 Ward Blvd
Wilson, NC 27893

Days patients are seen at this practice:
Practice Philosophy:
Non-English languages spoken by licensee:
Non-English languages spoken in office:
Participates in Medicare:
Accepting new Medicare Patients:
Participates in Medicaid:
Accepting new Medicaid Patients:
Uses electronic medical records:

Licensee Information

Licensee General Information

Licensee Limitations

Active License

Inactive License

North Carolina Hospital Admitting Privileges

Out of State Active/Inactive Licenses

Out of Country Active/Inactive Licenses

Year of Birth: 1949

Practice Information

Address

Information

Education, Certifications & Area of Practice

Medical School

Post Graduate Training

Current ABMS or AOA Board Certification and Year of Certification/Recertification

Area of Practice

Memberships, Honors, Awards, & Public Service

Current Membership in Medical Professional Organizations

Honors and Awards

Professional Service

Academic Appointments & Publications

Current Academic Appointments

Publications

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

North Carolina Medical Board Reentry Agreement

Other Regulatory Board or Agency Public Actions

Health Care Institution Suspensions and Revocations

Malpractice

Malpractice Information

Convictions

Misdemeanor/DUI/DWI Conviction Information

Felony Conviction Information

Reason Code	License Number	Subcategory	Issue Date	Expire Date
	24334		08/16/1980