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Madison Neurosurgery, PLLC

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Company Details

Name: Madison Neurosurgery, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 16 May 2007 (18 years ago)
Business ID: 912480
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Lewis, Adam Agent 971 Lakeland Drive Suite 1250, Jackson, MS 39216

Member

Name Role Address
Anthony Huffman Member 497 Keywood Circle Suite AP O Box 321330, Flowood, MS 39232

National Provider Identifier

NPI Number:
1982895041

Authorized Person:

Name:
DR. ADAM I LEWIS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6013667311

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2007-05-16 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website