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Organization

SOUTHEAST REGIONAL MEDICAL SOLUTIONS, PLLC

Active
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Organization

SOUTHEAST REGIONAL MEDICAL SOLUTIONS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHEAL L BOOKHARDT MD (OWNER)
(321) 229-8868
Entity
Organization

Contact information

Practice address
2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
(769) 487-6036
Mailing address
310 RIVER FOREST LN, BRANDON, MS 39047-7020

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—

Other

Enumeration date
05/24/2019
Last updated
03/04/2024
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