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Oklahoma Board of Medical Licensure and Supervision

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NYE, TERRY RANDALL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1916 BROOKSIDE DRIVE
KINGSPORT TN 37660-4602

Address last updated on 5/14/2007
Phone #: (423) 392-6000
Fax #: (423) 392-6042
County: NOT OKLAHOMA
License: 17700
Dated: 7/1/1991
Expires: 7/1/2008
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated: 5 / 1990
CME Year: 2009
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
1916 BROOKSIDE DRIVE
KINGSPORT TN 37660-4602

Phone #: (423) 392-6000
Fax #: (423) 392-6042
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:

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