Individual
MRS. LINDSEY D BOOKHARDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1007 S MACON ST, JESUP, GA 31545-0242
(912) 588-1020
(912) 588-1002
Mailing address
PO BOX 664, JESUP, GA 31598-0664
(912) 588-1020
(912) 588-1002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004294
GA
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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