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The Mane Physician LLC

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Company Details

Name: The Mane Physician LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 12 Jan 2020 (6 years ago)
Business ID: 1198225
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 419 Saddle Creek Oxford , MS 38655

Agent

Name Role Address
Camala Chism Agent 94 Spain Drive, Grenada , MS 38901

Manager

Name Role Address
Camala Gilliom Manager 419 Saddle Creek, Oxford, MS 38655

National Provider Identifier

NPI Number:
1902435118
Certification Date:
2020-04-08

Authorized Person:

Name:
MRS. CAMALA CHISM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-14 Annual Report For The Mane Physician LLC
Annual Report LLC Filed 2024-04-15 Annual Report For The Mane Physician LLC
Annual Report LLC Filed 2023-04-15 Annual Report For The Mane Physician LLC
Annual Report LLC Filed 2022-04-01 Annual Report For The Mane Physician LLC
Annual Report LLC Filed 2021-04-23 Annual Report For The Mane Physician LLC
Formation Form Filed 2020-01-12 Formation For The Mane Physician LLC

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Date of last update: 08 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website