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Mize Family Medicine LLC

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Company Details

Name: Mize Family Medicine LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 Mar 2025 (3 months ago)
Business ID: 1479800
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Paul Simpson Agent 310 Virgil St, Taylorsville, MS 39168

Member

Name Role Address
Paul Simpson Member 310 Virgil St, Taylorsville, MS 39168

National Provider Identifier

NPI Number:
1932908308
Certification Date:
2025-03-10

Authorized Person:

Name:
MR. LELIA SIMPSON
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Formation Form Filed 2025-03-07 Formation For Mize Family Medicine LLC

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Date of last update: 01 May 2025

Sources: Company Profile on Mississippi Secretary of State Website