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Blackwell Family Foot Care, PLLC

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Company Details

Name: Blackwell Family Foot Care, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 31 Aug 2020 (5 years ago)
Business ID: 1234215
ZIP code: 39204
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1815 Hospital Drive, Suite 301Jackson, MS 39204

Agent

Name Role Address
Ashley Dawn Blackwell Agent 1120 Garden Park Drive, Jackson, MS 39204

Manager

Name Role Address
Ashley Dawn Blackwell Manager 1815 Hospital Drive, Suite 301, Jackson, MS 39204

President

Name Role Address
Ashley Dawn Blackwell President 1815 Hospital Drive, Suite 301, Jackson, MS 39204

National Provider Identifier

NPI Number:
1669077038
Certification Date:
2021-01-18

Authorized Person:

Name:
DR. ASHLEY DAWN BLACKWELL
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
6014490194

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-05-12 Annual Report For Blackwell Family Foot Care, PLLC
Annual Report LLC Filed 2024-01-31 Annual Report For Blackwell Family Foot Care, PLLC
Annual Report LLC Filed 2023-02-18 Annual Report For Blackwell Family Foot Care, PLLC
Annual Report LLC Filed 2022-03-03 Annual Report For Blackwell Family Foot Care, PLLC
Annual Report LLC Filed 2021-03-17 Annual Report For Blackwell Family Foot Care, PLLC
Annual Report LLC Filed 2020-10-28 Annual Report For Blackwell Family Foot Care, PLLC
Formation Form Filed 2020-08-31 Formation For Blackwell Family Foot Care, PLLC

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Date of last update: 24 May 2025

Sources: Company Profile on Mississippi Secretary of State Website