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Synergy Wound Care, LLC

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Company Details

Name: Synergy Wound Care, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 06 Jan 2022 (3 years ago)
Business ID: 1318328
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 22 Millbranch Rd, STE 200Hattiesburg, MS 39402

Agent

Name Role Address
Brien B. Hubbard Agent 919 Lake Circle, Magee, MS 39111

Manager

Name Role Address
Brien B. Hubbard Manager 22 Millbranch Rd, Ste 200, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1225883184
Certification Date:
2024-04-23

Authorized Person:

Name:
TYLER STOUT
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
163WH0200X - Home Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
163WW0000X - Wound Care Registered Nurse
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Reinstatement Filed 2024-04-17 Reinstatement For Synergy Wound Care, LLC
Admin Dissolution Filed 2024-01-05 Action of Intent to Dissolve: AR: Synergy Wound Care, LLC
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: Synergy Wound Care, LLC
Formation Form Filed 2022-01-06 Formation For Synergy Wound Care, LLC

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Date of last update: 28 May 2025

Sources: Company Profile on Mississippi Secretary of State Website