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Grant Family Medical LLC
Company Details
| Name: |
Grant Family Medical LLC |
| Jurisdiction: |
MISSISSIPPI |
| Business Type: |
Limited Liability Company |
| Status: |
Good Standing
|
| Effective Date: |
17 Jan 2024 (a year ago)
|
| Business ID: |
1425851 |
| ZIP code: |
38801
|
| County: |
Lee |
| State of Incorporation: |
MISSISSIPPI |
| Principal Office Address: |
206 Maynard DrTupelo, MS 38801 |
Agent
| Name |
Role |
Address |
|
Dana L Grant
|
Agent
|
206 Maynard Dr, Tupelo, MS 38801
|
Manager
| Name |
Role |
Address |
|
Dana L Grant
|
Manager
|
206 Maynard Dr, Tupelo, MS 38801
|
National Provider Identifier
Certification Date:
2024-02-23
Authorized Person:
Role:
OWNER/NURSE PRACTITIONER
Taxonomy:
Selected Taxonomy:
208D00000X - General Practice Physician
Contacts:
Filings
| Type |
Status |
Filed Date |
Description |
|
Amendment Form
|
Filed
|
2024-09-13
|
Amendment For Grant Family Medical LLC
|
|
Formation Form
|
Filed
|
2024-01-17
|
Formation For Grant Family Medical LLC
|
Date of last update: 13 Apr 2025
Sources:
Mississippi Secretary of State
