Individual
CORY E DECLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 OLD PLEASANT GROVE RD, MT JULIET, TN 37122-4493
(629) 255-2281
(629) 255-4281
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
(629) 255-3075
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
71164
TN
Other
Enumeration date
07/10/2019
Last updated
06/26/2024
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