Individual
JOSEPH O SAMS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 MEDICAL PARK DR, OXFORD, MS 38655-5326
(662) 236-5717
(662) 234-4016
Mailing address
8110 N BROTHER BLVD STE 200, BARTLETT, TN 38133-2760
(901) 255-5221
(900) 373-4511
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
17613
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
E3732
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148606001
—
AR
01
—
5M582
BLUE CROSS
AR
Enumeration date
01/26/2006
Last updated
12/19/2023
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