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
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
05/24/2019
Last updated
03/04/2024
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