Individual
CHRISTIANNA KAY DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10 ENTERPRISE BLVD STE 111, GREENVILLE, SC 29615-3534
(864) 609-4009
(864) 609-4011
Mailing address
10 ENTERPRISE BLVD STE 111, GREENVILLE, SC 29615-3534
(864) 609-4009
(864) 609-4011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26875
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26875
STATE LICENSING BOARD - APRN
SC
Enumeration date
12/29/2022
Last updated
12/29/2022
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