Individual
GREGORY FLORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 WHITAKER ROAD, BULLS GAP, TN 37711
(423) 429-5490
(423) 393-1135
Mailing address
190 WHITAKER RD, BULLS GAP, TN 37711-4919
(423) 429-5490
(423) 393-1135
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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