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Hancock Family Medicine, PLLC

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Company Details

Name: Hancock Family Medicine, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 22 Mar 2005 (20 years ago)
Business ID: 869732
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Kellum, Ronald F Agent 330 Cherry Lane, Pass Christian, MS 39571

Member

Name Role Address
Ronald F Kellum Member 5400 Indian Hill Blvd, Diamondhead, MS 39525
Ronald Kellum Member 330 Cherry Land, Pass Christian, MS 39571

National Provider Identifier

NPI Number:
1184732448

Authorized Person:

Name:
DR. RONALD KELLUM
Role:
MD OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2285869230

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2005-03-22 Formation

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Date of last update: 13 May 2025

Sources: Company Profile on Mississippi Secretary of State Website