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Olive Branch Primary Care PLLC

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Company Details

Name: Olive Branch Primary Care PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 15 Jan 2014 (11 years ago)
Business ID: 1034272
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 1405 NOTTINGHAM DR,SOUTHAVEN, MS 38671

Agent

Name Role Address
Tate, Karen M Agent 1405 Nottingham Dr, Southaven, MS 38671

Member

Name Role Address
Robert P Tate Member 1405 Nottingham Dr, Southaven, MS 38671

National Provider Identifier

NPI Number:
1871918789

Authorized Person:

Name:
KAREN M TATE
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6623490406
Fax:
6628954886

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2015-03-09 Annual Report For Olive Branch Primary Care PLLC
Annual Report LLC Filed 2014-04-07 Annual Report LLC
Formation Form Filed 2014-01-15 Formation

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Date of last update: 14 May 2025

Sources: Company Profile on Mississippi Secretary of State Website