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Shannon Family Medical Clinic, LLC

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Company Details

Name: Shannon Family Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 16 Mar 2009 (16 years ago)
Business ID: 946517
ZIP code: 38868
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 219 BROAD STREETSHANNON, MS 38868

Agent

Name Role Address
Norris Doss Agent 219 Broad Street, PO Box 846, Shannon, MS 38868

Member

Name Role Address
NORRIS DOSS Member 209 CR 109, SHANNON, MS 38868
KIMBERLY DOSS Member 301 EVERGREEN DRIVE, ABERDEEN, MS 39730
STEPHANIE DOSS Member 4013 PLAYERS COVE, GAUTIER, MS 39553

National Provider Identifier

NPI Number:
1568633964

Authorized Person:

Name:
NORRIS N DOSS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6629952202

Filings

Type Status Filed Date Description
Dissolution Filed 2022-01-12 Dissolution For Shannon Family Medical Clinic, LLC
Annual Report LLC Filed 2021-01-07 Annual Report For Shannon Family Medical Clinic, LLC
Annual Report LLC Filed 2020-02-14 Annual Report For Shannon Family Medical Clinic, LLC
Annual Report LLC Filed 2019-09-10 Annual Report For Shannon Family Medical Clinic, LLC
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report LLC Filed 2018-04-04 Annual Report For Shannon Family Medical Clinic, LLC
Annual Report LLC Filed 2017-03-08 Annual Report For Shannon Family Medical Clinic, LLC
Annual Report LLC Filed 2016-04-05 Annual Report For Shannon Family Medical Clinic, LLC
Reinstatement Filed 2015-12-29 Reinstatement For Shannon Family Medical Clinic, LLC
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-10-31
Type:
Planned
Address:
219 BROAD STREET, SHANNON, MS, 38868
Safety Health:
Health
Scope:
NoInspection

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$6,200
Date Approved:
2020-07-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$6,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$6,278.53
Servicing Lender:
Renasant Bank
Use of Proceeds:
Payroll: $6,200

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Date of last update: 27 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website