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Petal Chiropractic Clinic, Inc.

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Company Details

Name: Petal Chiropractic Clinic, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 11 Jan 2007 (18 years ago)
Business ID: 905006
ZIP code: 39465
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 130 N MAIN STREETPETAL, MS 39465

Agent

Name Role Address
Puckett, Donna Agent 130 North Main Street, Petal, MS 39465

Incorporator

Name Role Address
Donna Puckett Incorporator 130 North Main Street, Petal, MS 39465
Kim Puckett Incorporator 14 Moss Lane, Petal, MS 39465

President

Name Role Address
Donna Puckett President 130 North Main Street, Petal, MS 39465

Director

Name Role Address
Kim Puckett Director 130 North Main Street, Petal, MS 39465

National Provider Identifier

NPI Number:
1457484545

Authorized Person:

Name:
DR. KIM A PUCKETT
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
6015451449

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: AR: Petal Chiropractic Clinic, Inc.
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Petal Chiropractic Clinic, Inc.
Annual Report Filed 2020-02-13 Annual Report For Petal Chiropractic Clinic, Inc.
Annual Report Filed 2019-03-09 Annual Report For Petal Chiropractic Clinic, Inc.
Annual Report Filed 2018-03-02 Annual Report For Petal Chiropractic Clinic, Inc.
Annual Report Filed 2017-03-02 Annual Report For Petal Chiropractic Clinic, Inc.
Annual Report Filed 2016-02-18 Annual Report For Petal Chiropractic Clinic, Inc.
Annual Report Filed 2015-01-26 Annual Report For Petal Chiropractic Clinic, Inc.
Annual Report Filed 2014-01-23 Annual Report
Annual Report Filed 2013-01-11 Annual Report

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Date of last update: 06 May 2025

Sources: Company Profile on Mississippi Secretary of State Website