# MEDICOMP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dogwood Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407158454
- **Authorized official:** MR. JOSEPH S MCNULTY III (CEO)
- **Authorized official phone:** (601) 849-6440

## Contact information

- **Practice address:** 151 E METRO DR, SUITE 106, FLOWOOD, MS 39232-4402
- **Practice address phone:** (601) 664-7191
- **Practice address fax:** (601) 664-7149
- **Mailing address:** 151 E METRO DR, SUITE 106, FLOWOOD, MS 39232-4402
- **Mailing address phone:** (601) 664-7191
- **Mailing address fax:** (601) 664-7149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 11/24/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09635221 | — | MS |