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FICKIE, MATTHEW R
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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: |
CARECORE NATIONAL
400 BUCKWALTER PL BLVD
BLUFFTON SC 29910
Address last updated on 12/14/2016 |
Phone #: |
(800) 918-8924 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
31805 |
Dated: |
1/13/2016 |
Expires: |
1/1/2018 |
License Type: |
Medical Doctor |
Specialty: |
Medical Genetics
Internal Medicine
Pediatrics |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108 |
Graduated: |
5 /
2003 |
CME Year: |
2019 |
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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 INTERNAL MEDICINE
AMERICAN BOARD OF MEDICAL GENETICS (Clinical Genetics)
AMERICAN BOARD OF PEDIATRICS |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
CIGNA HMO
CIGNA PPO |
Hospital Privileges: |
None listed |
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