Individual
VICTOR PAUL DEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 STONECREST BLVD, SMYRNA, TN 37167-6810
(615) 768-2000
Mailing address
717 LISCHEY AVE, NASHVILLE, TN 37207-5807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
35094
TN
Other
Enumeration date
07/25/2023
Last updated
10/17/2023
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