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The Pain Clinic of Mississippi, PLLC

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Company Details

Name: The Pain Clinic of Mississippi, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 09 Jan 2012 (13 years ago)
Business ID: 994119
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 348 Long Cove DriveMadison, MS 39110

Agent

Name Role Address
Williamson, A Duane Agent 348 Long Cove Drive, Madison, MS 39110

Member

Name Role Address
A Duane Williamson Member 348 Long Cove Drive, Madison, MS 39110

National Provider Identifier

NPI Number:
1063786036

Authorized Person:

Name:
DR. DUANE WILLIAMSON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
3343954110
Fax:
6018993504

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-01-29 Annual Report For The Pain Clinic of Mississippi, PLLC
Annual Report LLC Filed 2015-01-09 Annual Report For The Pain Clinic of Mississippi, PLLC
Annual Report LLC Filed 2014-02-03 Annual Report LLC
Annual Report LLC Filed 2013-03-19 Annual Report LLC
Formation Form Filed 2012-01-09 Formation

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website