Individual
SAM DELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1325 EASTMORELAND AVE STE 440, MEMPHIS, TN 38104-7554
(901) 725-0421
(901) 278-4675
Mailing address
PO BOX 126, MEMPHIS, TN 38101-0126
(901) 757-2345
(901) 757-9065
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37329
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037329
BLUE CROSS BLUE SHIELD
TN
05
—
114202001
—
AR
05
—
3003101
—
TN
Enumeration date
07/18/2006
Last updated
09/19/2023
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