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MS Magnolia Medical and Medispa, LLC

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Company Details

Name: MS Magnolia Medical and Medispa, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Jan 2022 (3 years ago)
Business ID: 1314006
ZIP code: 39440
County: Jones
State of Incorporation: MISSISSIPPI
Principal Office Address: 516 N Magnolia StLaurel, MS 39440
Historical names: MS Magnolia Medical LLC

Agent

Name Role Address
Tomia Carter Agent 765 Tower Rd., Moselle, MS 39459

Member

Name Role Address
Tomia Carter Member 765 Tower Rd., Moselle, MS 39459

National Provider Identifier

NPI Number:
1386304129
Certification Date:
2022-07-14

Authorized Person:

Name:
BRITTANY A RATCLIFF
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-07 Annual Report For MS Magnolia Medical and Medispa, LLC
Annual Report LLC Filed 2024-06-11 Annual Report For MS Magnolia Medical and Medispa, LLC
Amendment Form Filed 2024-02-22 Amendment For MS Magnolia Medical LLC
Annual Report LLC Filed 2023-04-12 Annual Report For MS Magnolia Medical LLC
Annual Report LLC Filed 2022-09-20 Annual Report For MS Magnolia Medical LLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: MS Magnolia Medical LLC
Formation Form Filed 2021-12-03 Formation For MS Magnolia Medical LLC

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Date of last update: 28 May 2025

Sources: Company Profile on Mississippi Secretary of State Website