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Ear Nose and Throat Surgical Group, PLLC

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Company Details

Name: Ear Nose and Throat Surgical Group, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Jul 2022 (3 years ago)
Business ID: 1347333
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 333 Lake Village DrMadison, MS 39110

Agent

Name Role Address
Kyle F. Gordon MD Agent 333 Lake Village Drive, Madison, MS 39110

Organizer

Name Role Address
G. Michael Massey Esq Organizer PO Box 13664, Jackson, MS 39236

Manager

Name Role Address
Kyle F. Gordon MD Manager 333 Lake Village Drive, Madison, MS 39110

National Provider Identifier

NPI Number:
1881712057

Authorized Person:

Name:
MRS. KAREN D ALFORD
Role:
CFO ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Fax:
6013211647

Form 5500 Series

Employer Identification Number (EIN):
863614691
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-26 Annual Report For Ear Nose and Throat Surgical Group, PLLC
Annual Report LLC Filed 2024-02-04 Annual Report For Ear Nose and Throat Surgical Group, PLLC
Annual Report LLC Filed 2023-03-25 Annual Report For Ear Nose and Throat Surgical Group, PLLC
Formation Form Filed 2022-07-01 Formation For Ear Nose and Throat Surgical Group, PLLC

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Date of last update: 30 May 2025

Sources: Company Profile on Mississippi Secretary of State Website