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SURGERY CLINIC OF COLUMBUS, PLLC

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Company Details

Name: SURGERY CLINIC OF COLUMBUS, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 04 Aug 2000 (25 years ago)
Business ID: 690255
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
THOMAS L. VINSON, M.D. Agent 425 HOSPITAL DRIVE, #1, COLUMBUS, MS 39701

Member

Name Role Address
H.J. DAVIDSON, JR. Member 407 7TH STREET NORTH, COLUMBUS, MS 39703
L Vinson Thomas Member 425 HOSPITAL DRIVE, #1, COLUMBUS, MS 39701

National Provider Identifier

NPI Number:
1073736658

Authorized Person:

Name:
THOMAS L VINSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6623285540

Form 5500 Series

Employer Identification Number (EIN):
640945438
Plan Year:
2013
Number Of Participants:
1
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report LLC Filed 2014-02-25 Annual Report LLC
Annual Report LLC Filed 2013-03-12 Annual Report LLC
Annual Report LLC Filed 2012-05-07 Annual Report LLC
Annual Report LLC Filed 2011-04-26 Annual Report LLC
Name Reservation Form Filed 2000-08-04 Name Reservation

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website