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MIRMOW, DWIGHT PAUL       
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: LABORATORY MEDICINE PC
PATHOLOGY DEPT
2260 WRIGHTSBORO RD
AUGUSTA GA 30904

Address last updated on 9/8/2015
Phone #: (706) 481-7473
Fax #:
County: NOT OKLAHOMA
License: 27464
Dated: 1/13/2010
Expires: 1/1/2017
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Sc Sch Of Med, Columbia Sc 29208
Graduated: 12 / 1990
CME Year: 2019
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 PATHOLOGY
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:
LABORATORY MEDICINE PC
PATHOLOGY DEPT
2260 WRIGHTSBORO RD
AUGUSTA GA 30904

Phone #: (706) 481-7473
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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