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Gregory A. Auzenne, MD, P.A.

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Company Details

Name: Gregory A. Auzenne, MD, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 09 Dec 2014 (11 years ago)
Business ID: 1056781
ZIP code: 39305
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 509 Timber Ridge RoadMeridian, MS 39305
Fictitious names: Diabetic Institute
Historical names: Premier Lab

Agent

Name Role Address
Gregory A Auzenne Agent 509 Timber Ridge Road, Meridian, MS 39305

Incorporator

Name Role Address
Gregory A Auzenne Incorporator 509 Timber Ridge Road, Meridian, MS 39305

President

Name Role Address
Gregory Alvin Auzenne President 509 Timber Ridge Road, Merdian, MS 39305

National Provider Identifier

NPI Number:
1104374750
Certification Date:
2023-03-16

Authorized Person:

Name:
DR. GREGORY A AUZENNE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LH0002X - Hospice and Palliative Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Fax:
6012865825
Fax:
6012865425

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-04 Annual Report For Gregory A. Auzenne, MD, P.A.
Fictitious Name Registration Filed 2024-11-18 Fictitious Name Registration For Gregory A. Auzenne, MD, P.A.
Annual Report Filed 2024-03-20 Annual Report For Gregory A. Auzenne, MD, P.A.
Annual Report Filed 2023-08-03 Annual Report For Gregory A. Auzenne, MD, P.A.
Annual Report Filed 2022-06-23 Annual Report For Gregory A. Auzenne, MD, P.A.
Annual Report Filed 2021-04-27 Annual Report For Gregory A. Auzenne, MD, P.A.
Annual Report Filed 2020-07-28 Annual Report For Gregory A. Auzenne, MD, P.A.
Reinstatement Filed 2019-02-04 Reinstatement For Gregory A. Auzenne, MD, P.A.
Admin Dissolution Filed 2018-12-10 Admin Dissolution: Tax
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke

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Date of last update: 03 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website