Organization
FLORA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAISHA GIST MD (MEDICAL DIRECTOR)
(615) 412-8572
Entity
Organization
Contact information
Practice address
1108 LOGUE RD, MOUNT JULIET, TN 37122-3837
(615) 412-8657
(615) 270-2493
Mailing address
PO BOX 23, GLADEVILLE, TN 37071-0023
(615) 412-8657
(615) 270-2493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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