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Tatum Medical Clinic, LLC

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Company Details

Name: Tatum Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 14 Jan 2011 (14 years ago)
Business ID: 977106
ZIP code: 39046
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 276C Nissan Parkway Ste200Canton, MS 39046

Agent

Name Role Address
Tatum, Robert Agent 142 Hunt Circle, Madison, MS 39110

Manager

Name Role Address
ROBERT TATUM Manager 276C NISSAN PARKWAY STE 200, CANTON, MS 39046

President

Name Role Address
ROBERT TATUM President 276C NISSAN PARKWAY STE 200, CANTON, MS 39046

National Provider Identifier

NPI Number:
1912138967

Authorized Person:

Name:
DR. ROBERT E TATUM
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6018993920

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2022-11-28 Action of Intent to Dissolve: AR: Tatum Medical Clinic, LLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Tatum Medical Clinic, LLC
Annual Report LLC Filed 2021-04-14 Annual Report For Tatum Medical Clinic, LLC
Annual Report LLC Filed 2020-04-10 Annual Report For Tatum Medical Clinic, LLC
Annual Report LLC Filed 2019-04-15 Annual Report For Tatum Medical Clinic, LLC
Annual Report LLC Filed 2018-04-16 Annual Report For Tatum Medical Clinic, LLC
Annual Report LLC Filed 2017-09-25 Annual Report For Tatum Medical Clinic, LLC
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-09-29 Annual Report For Tatum Medical Clinic, LLC
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke

USAspending Awards / Financial Assistance

Date:
2021-02-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
85007.50
Total Face Value Of Loan:
85007.50
Date:
2020-06-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
4200.00
Total Face Value Of Loan:
4200.00
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
96200.00
Total Face Value Of Loan:
96200.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
96200
Current Approval Amount:
96200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
96790.71
Date Approved:
2021-02-24
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
85007.5
Current Approval Amount:
85007.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
85264.88

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website