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The purpose of this Golden LEAF grant is to assist with the addition four new telemedicine sites in medically underserved rural communities in eastern North Carolina, specifically, Faison (Duplin County), Bellhaven (Beaufort County), Tillery (Halifax County), and Hatteras (Dare County). This project will increase access to specialty care, improve continuity of care and improve the retention and recruitment of health professionals in these communities by reducing professional isolation. This project will quantify telemedicine’s impact on health and the community.