Medicomp, INC

NPI #1750774493 in Hazlehurst, Mississippi

Provider Information

NPI Number: 1750774493
Entity Type: Organization
Organization Name: Medicomp, INC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 5, 2015
Last Updated: Mar 5, 2015

Practice Location

Address: 236 CALDWELL DR
City: Hazlehurst
State: Mississippi
ZIP Code: 39083-2723
Phone: (601) 894-9004

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

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