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Magnolia Medical Clinic LLC

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Company Details

Name: Magnolia Medical Clinic LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 23 Jul 2024 (a year ago)
Business ID: 1450804
ZIP code: 39429
County: Marion
State of Incorporation: MISSISSIPPI
Principal Office Address: 431 Broad StColumbia, MS 39429

Agent

Name Role Address
Kristyn Bumpers Agent 79 Highpointe Dr, Hattiesburg, MS 39402

Manager

Name Role Address
Kristyn Bumpers Manager 79 Highpointe Dr, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1356179295
Certification Date:
2024-07-23

Authorized Person:

Name:
DR. KRISTYN BUMPERS
Role:
PHARMACIST
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-25 Annual Report For Magnolia Medical Clinic LLC
Formation Form Filed 2024-07-23 Formation For Magnolia Medical Clinic LLC

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-01-29
Type:
Planned
Address:
1413 STRONG AVE, GREENWOOD, MS, 38930
Safety Health:
Health
Scope:
NoInspection

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Date of last update: 06 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website