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Vicksburg Spine Center, LLC

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Company Details

Name: Vicksburg Spine Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 23 Jun 2021 (4 years ago)
Business ID: 1290506
ZIP code: 39355
County: Clarke
State of Incorporation: MISSISSIPPI
Principal Office Address: 1067 County Road 150Quitman, MS 39355

Agent

Name Role Address
Joey Daugherty Agent 1067 County Road 150, Quitman, MS 39355

Member

Name Role Address
Joey Daugherty Member 1067 County Road 150, Quitman, MS 39355

National Provider Identifier

NPI Number:
1134896038
Certification Date:
2024-08-22

Authorized Person:

Name:
MRS. SHANNON HYLTON
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-03 Annual Report For Vicksburg Spine Center, LLC
Annual Report LLC Filed 2024-01-11 Annual Report For Vicksburg Spine Center, LLC
Annual Report LLC Filed 2023-01-03 Annual Report For Vicksburg Spine Center, LLC
Annual Report LLC Filed 2022-01-06 Annual Report For Vicksburg Spine Center, LLC
Formation Form Filed 2021-06-23 Formation For Vicksburg Spine Center, LLC

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Date of last update: 27 May 2025

Sources: Company Profile on Mississippi Secretary of State Website