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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST
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BAZZEL, GRADY JUDSON
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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: |
WELLPATH
4334 NORTH CHAPEL ROAD
FRANKLIN TN 37067
Address last updated on 4/26/2024 |
| Phone #: |
(615) 815-2703 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
31199 |
| Dated: |
5/14/2015 |
| Expires: |
5/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
General Practice |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF SOUTH AL COLL OF MED, MOBILE AL 36688 |
| Graduated: |
5 /
1996 |
| CME Year: |
2027 |
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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: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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AMEIKA MILLER
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APRN |
77842 |
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