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Uniform Credentialing Application
Note: The files on this page have been converted to PDF files. You will need the Adobe™ Acrobat ™ Reader to view the files. A short-cut is provided on the left in the blue column.
The completed application may be submitted to hospitals, ambulatory surgery centers, managed care organizations, and other entities requiring credentials verification.
PLEASE DO NOT SEND THE APPLICATION TO THE
Law and Rule
Law Excerpt, 63-1-106.2 (12K PDF)
Rule Excerpt, 310:2-15 (10K PDF)
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