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Oklahoma Board of Medical Licensure and Supervision

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SHANN, TIMOTHY RAY       
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: BROOKHAVEN CHILDRENS' CLINIC
601 BROOKMAN DRIVE #A
BROOKHAVEN MS 39601

Address last updated on 8/22/2011
Phone #: (601) 835-2100
Fax #: (918) 421-6852
County: NOT OKLAHOMA
License: 21817
Dated: 10/4/2000
Expires: 10/1/2012
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1998
CME Year: 2014
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 PEDIATRICS
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: McAlester Regional Health Center
McAlester, OK
Locations: Hours: Languages:
BROOKHAVEN CHILDRENS' CLINIC
601 BROOKMAN DRIVE #A
BROOKHAVEN MS 39601

Phone #: (601) 835-2100
Fax #: (918) 421-6852
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun: 8:00AM - 6:00PM
Spanish

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