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MCCOMB SKIN CLINIC, P.A.

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Company Details

Name: MCCOMB SKIN CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 17 Sep 1998 (27 years ago)
Business ID: 661319
ZIP code: 39648
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 136 MARION AVEMCCOMB, MS 39648

Agent

Name Role Address
Brock, James M, Jr Agent 136 Marion Ave, McComb, MS 39648

Incorporator

Name Role Address
J Stephen Stubblefield Incorporator 3900 Lakeland Dr #401, Jackson, MS 39208-8853

Director

Name Role Address
James Murray Brock Jr Director 136 Marion Ave, McComb, MS 39648

President

Name Role Address
James Murray Brock Jr President 136 Marion Ave, McComb, MS 39648

Secretary

Name Role Address
Linda Y Brock Secretary P O Box 686, McComb, MS 39649

National Provider Identifier

NPI Number:
1740448653

Authorized Person:

Name:
MRS. LINDA YOUNG BROCK
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
6016843319

Form 5500 Series

Employer Identification Number (EIN):
640900348
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-01-27 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2024-03-29 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2023-04-14 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2022-03-31 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2021-04-01 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2020-05-15 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2019-04-09 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2018-04-14 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2017-04-08 Annual Report For MCCOMB SKIN CLINIC, P.A.
Annual Report Filed 2016-09-19 Annual Report For MCCOMB SKIN CLINIC, P.A.

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
115600.00
Total Face Value Of Loan:
115600.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$115,600
Date Approved:
2021-01-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,600
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$116,335.34
Servicing Lender:
Pike National Bank
Use of Proceeds:
Payroll: $115,594
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$115,600
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$115,600
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$116,420.71
Servicing Lender:
Pike National Bank
Use of Proceeds:
Payroll: $115,600

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Date of last update: 22 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website