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Mark B. Wall, MD, PA

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Company Details

Name: Mark B. Wall, MD, PA
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Jul 2015 (10 years ago)
Business ID: 1070613
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 202 Washington AveOcean Springs, MS 39564

Agent

Name Role Address
Mark B Wall Agent 202 Washington Ave, Ocean Springs, MS 39564

Incorporator

Name Role Address
Mark B Wall Incorporator 202 Washington Ave, Ocean Springs, MS 39564

President

Name Role Address
Mark Burnette Wall President 202 Washington Ave, Ocean Springs, MS 39564

National Provider Identifier

NPI Number:
1407216617

Authorized Person:

Name:
DR. MARK BURNETTE WALL
Role:
PRESIDENT-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-14 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2024-02-28 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2023-04-13 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2022-05-12 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2021-04-14 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2020-04-07 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2019-04-15 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2018-04-16 Annual Report For Mark B. Wall, MD, PA
Annual Report Filed 2017-09-24 Annual Report For Mark B. Wall, MD, PA
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke

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Date of last update: 16 May 2025

Sources: Company Profile on Mississippi Secretary of State Website