Civil war hat pin? Insignia?

NCNativeSociety

Tenderfoot
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I dug this pin looking relic from a civil war site in North Carolina and I have no idea what it is. Maybe it's civil war? I don't know. Anything helps! Thanks :) image.webp
 

Appears to be a medical badge. Maybe someone can be more specific.
 

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And welcome to T-Net!
 

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Welcome!
Can you tell us the size and show us the flip side of this?
 

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