Search icon

Magnolia Premier Medical Group PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: Magnolia Premier Medical Group PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 30 Nov 2023 (2 years ago)
Business ID: 1420339
ZIP code: 39212
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 4366 S. Siwell RoadByram, MS 39212

Agent

Name Role Address
Craig Damon Henry Agent 4366 S.Siwell Road, Jackson, MS 39212

Manager

Name Role Address
Craig Damon Henry Manager 4366 S. Siwell ROAD, Jackson, MS 39212

National Provider Identifier

NPI Number:
1164293387
Certification Date:
2024-01-16

Authorized Person:

Name:
CRAIG DAMON HENRY
Role:
FAMILY MEDICINE PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6013723059

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-19 Annual Report For Magnolia Premier Medical Group PLLC
Annual Report LLC Filed 2024-02-01 Annual Report For Magnolia Premier Medical Group PLLC
Formation Form Filed 2023-11-30 Formation For Magnolia Premier Medical Group PLLC

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 04 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website