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SOUTHAVEN INTERNAL MEDICINE, P.C.

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Company Details

Name: SOUTHAVEN INTERNAL MEDICINE, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 08 Mar 2000 (25 years ago)
Business ID: 683605
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 7680 AIRWAYS BLVDSOUTHAVEN, MS 38671

Incorporator

Name Role Address
D B Bridgforth Incorporator 1607 State Line Rd West, Southaven, MS 38671

Director

Name Role Address
Magdi Wassef Director 7680 Airways Blvd, Southaven, MS 38671

President

Name Role Address
Magdi Wassef President 7680 Airways Blvd, Southaven, MS 38671

Secretary

Name Role Address
Amira Wassef Secretary 7680 Airways Blvd, Southaven, MS 38670

Agent

Name Role Address
MAGDI WASSEF Agent 7680 AIRWAYS BOULEVARD, SOUTHAVEN, MS 38671

National Provider Identifier

NPI Number:
1932259355

Authorized Person:

Name:
KANDIS P SLEDGE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6623499734

Form 5500 Series

Employer Identification Number (EIN):
640922089
Plan Year:
2024
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-01-28 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2024-01-30 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2023-01-20 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2022-02-11 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2021-01-27 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2020-02-11 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2019-02-26 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2018-02-04 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2017-01-24 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.
Annual Report Filed 2016-02-09 Annual Report For SOUTHAVEN INTERNAL MEDICINE, P.C.

USAspending Awards / Financial Assistance

Date:
2020-04-26
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
9000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
103880.00
Total Face Value Of Loan:
103880.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$103,880
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$103,880
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$104,470.32
Servicing Lender:
Cadence Bank
Use of Proceeds:
Payroll: $103,880

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Date of last update: 23 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website