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GEORGE S. GILLIAM, M.D., P.S.C.

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Company Details

Name: GEORGE S. GILLIAM, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 May 1996 (29 years ago)
Organization Date: 30 May 1996 (29 years ago)
Last Annual Report: 17 Mar 2024 (a year ago)
Organization Number: 0416800
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42301
City: Owensboro, Saint Joseph, St Joseph, Stanley
Primary County: Daviess County
Principal Office: 3333 Frederica Street, Suite 5, 3333 Frederica Street, Suite 5, owensboro, owensboro, KY 42301
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
George S Gilliam Registered Agent

Incorporator

Name Role
GEORGE S. GILLIAM Incorporator

Shareholder

Name Role
George S. Gilliam Shareholder

Sole Officer

Name Role
George S. Gilliam Sole Officer

National Provider Identifier

NPI Number:
1891856167
Certification Date:
2023-02-28

Authorized Person:

Name:
DR. GEORGE STEPHEN GILLIAM
Role:
OWNER-PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
246Z00000X - Other Specialist/Technologist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
8124926498
Fax:
2706910485

Filings

Name File Date
Annual Report 2024-03-17
Principal Office Address Change 2024-03-17
Registered Agent name/address change 2024-03-17
Annual Report 2023-04-02
Annual Report 2022-03-20

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$56,267.25
Date Approved:
2021-02-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$56,267.25
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$56,698.89
Servicing Lender:
Old National Bank
Use of Proceeds:
Payroll: $56,263.25
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$56,220
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$56,220
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$56,536.72
Servicing Lender:
Old National Bank
Use of Proceeds:
Payroll: $56,220

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Sources: Kentucky Secretary of State