DR. Khaisha Verdelle Gist, M.D.

NPI #1184011835 in Antioch, Tennessee

Provider Information

NPI Number: 1184011835
Entity Type: Individual
Name: DR. Khaisha Verdelle Gist, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 21, 2015
Last Updated: Jul 23, 2023

Practice Location

Address: 5380 HICKORY HOLLOW PKWY STE 205
City: Antioch
State: Tennessee
ZIP Code: 37013-3389
Phone: (615) 412-8662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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