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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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FICKIE, MATTHEW R       
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: CARECORE NATIONAL
400 BUCKWALTER PL BLVD
BLUFFTON SC 29910

Address last updated on 12/14/2016
Phone #: (800) 918-8924
Fax #:
County: NOT OKLAHOMA
License: 31805
Dated: 1/13/2016
Expires: 1/1/2018
License Type: Medical Doctor
Specialty: Medical Genetics
Internal Medicine
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 5 / 2003
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 INTERNAL MEDICINE
AMERICAN BOARD OF MEDICAL GENETICS (Clinical Genetics)
AMERICAN BOARD OF PEDIATRICS
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: CIGNA HMO
CIGNA PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
CARECORE NATIONAL
400 BUCKWALTER PL BLVD
BLUFFTON SC 29910

Phone #: (800) 918-8924
Fax #:

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