Medicomp, INC

NPI #1487989950 in Madison, Mississippi

Provider Information

NPI Number: 1487989950
Entity Type: Organization
Organization Name: Medicomp, INC
Subpart: Yes (part of a larger organization)
Parent Organization: MEDICOMP, INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 16, 2009
Last Updated: Feb 4, 2014

Practice Location

Address: 1 WOODGREEN PL
Address 2: STE 101
City: Madison
State: Mississippi
ZIP Code: 39110-8161
Phone: (601) 605-1126

Authorized Official

Name: MR. JOSEPH S MCNULTY III
Title: CEO
Phone: (601) 849-6440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Occupational Therapist	225X00000X

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