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Midsouth Integrative Medical Inc

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Company Details

Name: Midsouth Integrative Medical Inc
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Mar 2020 (5 years ago)
Business ID: 1199719
ZIP code: 38761
County: Sunflower
State of Incorporation: MISSISSIPPI
Principal Office Address: 7651 Tchulahoma Rd Southaven, MS 38761
Fictitious names: MidSouth Integrative

Agent

Name Role Address
Meagan Duval Chastant-Qualls Agent 1425 Vernon Dr N, Hernando, MS 38632

Incorporator

Name Role Address
Meagan Chastant-Qualls Incorporator 1425 Vernon Dr N, Hernando, MS 38632

President

Name Role Address
Meagan Duval Chastant-Qualls President 1425 Vernon Dr N, Hernando, MS 38632

Chief Financial Officer

Name Role Address
Midsouth Integrative Medical Chief Financial Officer 7651 Tchulahoma Rd, Southaven, MS 38671

National Provider Identifier

NPI Number:
1568089993
Certification Date:
2025-03-19

Authorized Person:

Name:
MEAGAN CHASTANT-QUALLS
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6623490980

Filings

Type Status Filed Date Description
Fictitious Name Registration Filed 2025-01-14 Fictitious Name Registration For Midsouth Integrative Medical Inc
Annual Report Filed 2024-09-15 Annual Report For Midsouth Integrative Medical Inc
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Midsouth Integrative Medical Inc
Annual Report Filed 2023-05-22 Annual Report For Midsouth Integrative Medical Inc
Annual Report Filed 2022-01-25 Annual Report For Midsouth Integrative Medical Inc
Annual Report Filed 2021-02-07 Annual Report For Midsouth Integrative Medical Inc
Formation Form Filed 2020-01-27 Formation For Midsouth Integrative Medical Inc

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Date of last update: 22 May 2025

Sources: Company Profile on Mississippi Secretary of State Website