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Premier Dermatology and Skin Cancer Center, PLLC

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Company Details

Name: Premier Dermatology and Skin Cancer Center, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 11 Sep 2013 (12 years ago)
Business ID: 1027828
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 5935 WASHINGTON AVE. SUITE AOCEAN SPRINGS, MS 39564

Agent

Name Role Address
Waddell, Christian B Agent 1500 POPLAR BOULEVARD, 1500 Poplar Blvd, JACKSON, MS 39202

Organizer

Name Role Address
Christian B Waddell Organizer 188 EAST CAPITOL STREET, SUITE 1400PO BOX 22587, JACKSON, MS 39201

Member

Name Role Address
Michele Hughes Member 9371 OAK ISLAND RD, GULFPORT, MS 39503
Christian B Waddell Member 188 East Capitol Street, Suite 1400PO Box 22587, Jackson, MS 39201

National Provider Identifier

NPI Number:
1942637772

Authorized Person:

Name:
MICHELE HUGHES
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
2282150669

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-10 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Annual Report LLC Filed 2024-01-19 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Annual Report LLC Filed 2022-01-28 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Annual Report LLC Filed 2021-01-19 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Registered Agent Change of Address Filed 2020-06-10 Agent Address Change For Waddell, Christian B
Annual Report LLC Filed 2020-01-07 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Annual Report LLC Filed 2019-01-16 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Annual Report LLC Filed 2018-01-16 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC
Annual Report LLC Filed 2017-01-18 Annual Report For Premier Dermatology and Skin Cancer Center, PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
177400.00
Total Face Value Of Loan:
177400.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
177400
Current Approval Amount:
177400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
180282.75

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Date of last update: 14 May 2025

Sources: Company Profile on Mississippi Secretary of State Website