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Last Update: Saturday, October 19, 2024 1:24 PM CDT
Next Update: Saturday, October 19, 2024 4:30 PM CDT
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FULLENWIDER, CHARLES BERRY
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| Practice Address: |
4318 W OKMULGEE
MUSKOGEE OK 74401
Address last updated on 6/13/2023 |
| Phone #: |
(918) 683-1238 |
| Fax #: |
(918) 682-8087 |
| County: |
MUSKOGEE |
| License: |
12300 |
| Dated: |
7/2/1979 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurological Surgery |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1978 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF NEUROLOGICAL SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
BlueChoice PPO
HealthChoice
Preferred Community Choice |
| Hospital Privileges: |
Eastar Health System (fmly Muskogee Regional Med Ctr)
Muskogee, OK
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