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SHENKMAN, CARL TYLER       
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: 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
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduated: 5 / 1985
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 PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
,
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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