Civil war hat pin? Insignia?

[NCNativeSociety]

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

 

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Treasure of Victoria Peak - Grab it through Amazon!

[Tnmountains]

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

 

[Tnmountains]

And welcome to T-Net!

 

[nhbenz]

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

 

[NCNativeSociety]