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Main Street Medical, LLC

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Company Details

Name: Main Street Medical, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 19 Jul 2013 (12 years ago)
Business ID: 1024761
ZIP code: 39339
County: Winston
State of Incorporation: MISSISSIPPI
Principal Office Address: 106 W. Main StLouisville, MS 39339

Agent

Name Role Address
Kirkland, Thomas L., Jr. Agent 188 East Capitol Street, Suite 1400, Jackson, MS 39201

Manager

Name Role Address
Glenn Peters Manager PO Box 190, Louisville, MS 39339

Member

Name Role Address
Anita Goodrum Member P O Box 311, Eupora, MS 39744

National Provider Identifier

NPI Number:
1013340892

Authorized Person:

Name:
EMILY DAVIS PERKINS
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Registered Agent Change of Address Filed 2020-02-17 Agent Address Change For Kirkland, Thomas L., Jr.
Dissolution Filed 2017-01-31 Dissolution For Main Street Medical, LLC
Annual Report LLC Filed 2016-09-09 Annual Report For Main Street Medical, LLC
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2015-04-03 Annual Report For Main Street Medical, LLC
Annual Report LLC Filed 2014-11-04 Annual Report For Main Street Medical, LLC
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2013-07-19 Formation

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Date of last update: 14 May 2025

Sources: Company Profile on Mississippi Secretary of State Website