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CHARLES W. CAMPBELL, M.D., P.A

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Company Details

Name: CHARLES W. CAMPBELL, M.D., P.A
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 22 Apr 1996 (29 years ago)
Business ID: 629334
ZIP code: 39095
County: Holmes
State of Incorporation: MISSISSIPPI
Principal Office Address: 102 Carrollton StLexington, MS 39095

Agent

Name Role Address
CHARLES W. CAMPBELL, M.D. Agent 102 Carrollton St,, Lexington, MS 39095

Incorporator

Name Role Address
Royce Strickland Incorporator 102 E. Claiborne, Greenwood, MS 38930

President

Name Role Address
Charles W Campbell President 309 North Street, Lexington, MS 39095

Director

Name Role Address
Charles Campbell Director 102 Carrollton St., Lexington, MS 39095
Charles W Campbell Director 309 North Street, Lexington, MS 39095

Secretary

Name Role Address
Charles Campbell Secretary 102 Carrollton St., Lexington, MS 39095

National Provider Identifier

NPI Number:
1891907440

Authorized Person:

Name:
DR. CHARLES W CAMPBELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: AR: CHARLES W. CAMPBELL, M.D., P.A
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: CHARLES W. CAMPBELL, M.D., P.A
Annual Report Filed 2020-02-05 Annual Report For CHARLES W. CAMPBELL, M.D., P.A
Annual Report Filed 2019-01-18 Annual Report For CHARLES W. CAMPBELL, M.D., P.A
Annual Report Filed 2018-02-05 Annual Report For CHARLES W. CAMPBELL, M.D., P.A
Annual Report Filed 2017-02-09 Annual Report For CHARLES W. CAMPBELL, M.D., P.A
Annual Report Filed 2016-03-10 Annual Report For CHARLES W. CAMPBELL, M.D., P.A
Annual Report Filed 2015-02-03 Annual Report For CHARLES W. CAMPBELL, M.D., P.A
Reinstatement Filed 2014-02-06 Reinstatement
Admin Dissolution Filed 2013-10-01 Admin Dissolution

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$16,837
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$16,837
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$16,948.46
Servicing Lender:
Holmes County Bank
Use of Proceeds:
Payroll: $16,837

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Date of last update: 20 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website