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Individual

JAMES E DELK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261
Mailing address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
133054
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
13898
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510622
TN
01
4215000
BCBS
TN
01
P00785850
MEDICARE RAIL ROAD
TN
Enumeration date
01/13/2009
Last updated
08/12/2010
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