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SHENKMAN, CARL TYLER
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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.
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Practice Address: |
1111 GLYNCO PARKWAY
STE 400
BRUNSWICK GA 31525
Address last updated on 1/20/2016 |
Phone #: |
(912) 265-1357 |
Fax #: |
(912) 265-0495 |
County: |
NOT OKLAHOMA |
License: |
27648 |
Dated: |
2/7/2011 |
Expires: |
2/1/2014 |
License Type: |
Medical Doctor |
Specialty: |
Neurology |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
Graduated: |
5 /
1985 |
CME Year: |
2014 |
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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 PSYCHIATRY AND NEUROLOGY |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital Not Listed
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Locations: |
Hours: |
Languages: |
1111 GLYNCO PARKWAY
STE 400
BRUNSWICK GA 31525
Phone #:
(912) 265-1357
Fax #:
(912) 265-0495 |
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: |
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