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Organization
GOOD FAITH WELLNESS CENTER PLLC
Active
Organization
GOOD FAITH WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L BOOKHARDT MD (AUTHORIZED OFFICIAL)
(798) 487-6036
Entity
Organization
Contact information
Practice address
2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
(769) 487-6036
Mailing address
2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
(769) 487-6036
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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