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The Clinic at Elm Lake, P.A.

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Company Details

Name: The Clinic at Elm Lake, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 30 May 2008 (17 years ago)
Business ID: 932904
ZIP code: 39701
County: Lowndes
State of Incorporation: MISSISSIPPI
Principal Office Address: 3700 N. Frontage RoadColumbus, MS 39701

Agent

Name Role Address
Stephanie M Gale Agent 3700 N Frontage Rd, Columbus, MS 39701

Incorporator

Name Role Address
Stephanie M Gale Incorporator 1710 Bramblewood Drive, Columbus, MS 39705

Director

Name Role Address
Stephanie M. Gale Director 1710 Bramblewood Dr, Columbus, MS 39705

President

Name Role Address
Stephanie M. Gale President 1710 Bramblewood Dr, Columbus, MS 39705

National Provider Identifier

NPI Number:
1215193933

Authorized Person:

Name:
MRS. ANNMARIE STOKES
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Fax:
6622415451

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-24 Annual Report For The Clinic at Elm Lake, P.A.
Annual Report Filed 2024-03-21 Annual Report For The Clinic at Elm Lake, P.A.
Annual Report Filed 2023-01-19 Annual Report For The Clinic at Elm Lake, P.A.
Annual Report Filed 2022-04-15 Annual Report For The Clinic at Elm Lake, P.A.
Annual Report Filed 2021-04-13 Annual Report For The Clinic at Elm Lake, P.A.
Annual Report Filed 2020-04-14 Annual Report For The Clinic at Elm Lake, P.A.
Annual Report Filed 2019-04-17 Annual Report For The Clinic at Elm Lake, P.A.
Annual Report Filed 2018-03-02 Annual Report For The Clinic at Elm Lake, P.A.
Reinstatement Filed 2017-04-06 Reinstatement For The Clinic at Elm Lake, P.A.
Amendment Form Filed 2017-04-06 Amendment For The Clinic at Elm Lake, P.A.

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Date of last update: 08 May 2025

Sources: Company Profile on Mississippi Secretary of State Website