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Pelahatchie Family Medicine, LLC

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Company Details

Name: Pelahatchie Family Medicine, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 05 Oct 2012 (13 years ago)
Business ID: 1009330
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Krooss, William F., II, M D Agent 2001 Airport Road, Suite 204, Flowood, MS 39232

Organizer

Name Role Address
Elizabeth G Hooper Organizer 401 E Capitol Street, Suite 600 PO Box 651, Jackson, MS 39201

National Provider Identifier

NPI Number:
1982942223

Authorized Person:

Name:
WILLIAM KROOSS II
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2012-10-05 Formation

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Date of last update: 29 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website