Search icon

Puckett Family Medical Clinic, LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Puckett Family Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 12 Mar 2020 (5 years ago)
Business ID: 1204809
State of Incorporation: MISSISSIPPI
Principal Office Address: 1699 Highway 13 NorthBrandon, MS 394042

Agent

Name Role Address
Ashley M Shivers Agent 1699 Highway 13 North, Brandon, MS 39042

Organizer

Name Role Address
David L Morrow Esq Organizer 200 East Government Street, 200 East Government Street, Brandon, MS 39042

Member

Name Role Address
Ashley M Shivers Member 1699 Highway 13 North, Brandon, MS 39042

National Provider Identifier

NPI Number:
1689285249
Certification Date:
2020-08-16

Authorized Person:

Name:
ASHELY M SHIVERS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6018245855

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-05-06 Annual Report For Puckett Family Medical Clinic, LLC
Annual Report LLC Filed 2023-05-30 Annual Report For Puckett Family Medical Clinic, LLC
Annual Report LLC Filed 2022-06-15 Annual Report For Puckett Family Medical Clinic, LLC
Annual Report LLC Filed 2021-09-28 Annual Report For Puckett Family Medical Clinic, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Puckett Family Medical Clinic, LLC
Formation Form Filed 2020-03-13 Formation For Puckett Family Medical Clinic, LLC

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 22 May 2025

Sources: Company Profile on Mississippi Secretary of State Website