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Columbus Pulmonary Clinic, P.C.

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Company Details

Name: Columbus Pulmonary Clinic, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 22 Apr 2004 (21 years ago)
Business ID: 854419
ZIP code: 39705
County: Lowndes
State of Incorporation: MISSISSIPPI
Principal Office Address: 255 Baptist Blvd., Suite 302Columbus, MS 39705

Agent

Name Role Address
Busch, Lance E Agent 255 Baptist Blvd., Suite 301, Columbus, MS 39705

Incorporator

Name Role Address
Patrick B Davidson Incorporator 200 6th Street North, Suite 700, Columbus, MS 39701

President

Name Role Address
Lance E Busch President 255 Baptist Blvd Suite 301, Columbus, MS 39705

National Provider Identifier

NPI Number:
1821268467

Authorized Person:

Name:
MS. KELLI AVERY
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
6622431070

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2011-12-05 Admin Dissolution
Notice to Dissolve/Revoke Filed 2011-07-25 Notice to Dissolve/Revoke
Annual Report Filed 2010-11-11 Annual Report
Notice to Dissolve/Revoke Filed 2010-09-12 Notice to Dissolve/Revoke
Problem Report Filed 2010-04-05 Problem Report
Annual Report Filed 2009-10-20 Annual Report
Notice to Dissolve/Revoke Filed 2009-09-25 Notice to Dissolve/Revoke
Annual Report Filed 2008-10-20 Annual Report
Notice to Dissolve/Revoke Filed 2008-09-25 Notice to Dissolve/Revoke
Annual Report Filed 2007-11-09 Annual Report

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Date of last update: 12 May 2025

Sources: Company Profile on Mississippi Secretary of State Website