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EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.

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Company Details

Name: EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 11 May 1979 (46 years ago)
Business ID: 403827
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 107 MILLSAPS DRIVEHATTIESBURG, MS 39402

Agent

Name Role Address
Guice, C E, III Agent 107 Millsaps Drive;P O Box 17829, Hattiesburg, MS 39404-7829

Director

Name Role Address
C E Guice III Director 107 Millsaps Drive, Hattiesburg, MS 39402
J Robert Coltharp Director 107 Millsaps Drive, Hattiesburg, MS 39402
Curtis Childress Director 107 Millsaps Drive, Hattiesburg, MS 39402

President

Name Role Address
C E Guice III President 107 Millsaps Drive, Hattiesburg, MS 39402

Vice President

Name Role Address
J Robert Coltharp Vice President 107 Millsaps Drive, Hattiesburg, MS 39402

Secretary

Name Role Address
Curtis Childress Secretary 107 Millsaps Drive, Hattiesburg, MS 39402

Treasurer

Name Role Address
Curtis Childress Treasurer 107 Millsaps Drive, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1881769032

Authorized Person:

Name:
DR. CHARLES EDWIN GUICE III
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207YX0905X - Otolaryngology/Facial Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6012685138

Form 5500 Series

Employer Identification Number (EIN):
640622401
Plan Year:
2021
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
25
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Dissolution Filed 2020-12-21 Dissolution For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2020-03-17 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Reinstatement Filed 2019-08-21 Reinstatement For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-04-11 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2016-03-24 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2015-04-08 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2014-10-17 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke

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Date of last update: 18 Apr 2025

Sources: Mississippi Secretary of State