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Madison General Surgery, PLLC

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Company Details

Name: Madison General Surgery, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 18 Jul 2007 (18 years ago)
Business ID: 915951
State of Incorporation: MISSISSIPPI

Agent

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

Member

Name Role Address
Anthony L. Huffman Member 497A Keywood CircleP.O. Box 321330, Flowood, MS 39232

National Provider Identifier

NPI Number:
1609067768

Authorized Person:

Name:
DR. DAVID R CARROLL
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
6013666647

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2007-07-18 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website