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Robertson Medical Clinic LLC

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Company Details

Name: Robertson Medical Clinic LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 14 Apr 2024 (a year ago)
Business ID: 1438185
ZIP code: 39701
County: Lowndes
State of Incorporation: MISSISSIPPI
Principal Office Address: 326 Military Rd.Columbus, MS 39701

Agent

Name Role Address
Faye Ann Robertson Agent 2416 23rd Ave N, Columbus , MS 39701

Manager

Name Role Address
Dallas Anthony Colom Manager 2416 23rd Ave N, Columbus, MS 39701
Andrew James Robertson III Manager 2416 23rd Ave N, Columbus, MS 39701
Faye Ann Robertson Manager 2416 23rd Ave N, Columbus, MS 39701

National Provider Identifier

NPI Number:
1518712546
Certification Date:
2024-04-22

Authorized Person:

Name:
MRS. FAYE ANN ROBERTSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-05 Annual Report For Robertson Medical Clinic LLC
Formation Form Filed 2024-04-14 Formation For Robertson Medical Clinic LLC

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Date of last update: 05 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website