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Organization
MEDICOMP, INC
Active
Organization
MEDICOMP, INC
Active
Parent organization
MEDICOMP, INC
Other names
Medicomp Physical Therapy Madison
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICOMP, INC
Authorized official
MR. JOSEPH S MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
1 WOODGREEN PL, STE 101, MADISON, MS 39110-8161
(601) 605-1126
(601) 605-1891
Mailing address
110 PIONEER WAY, MAGEE, MS 39111
(601) 849-6440
(601) 849-1969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
953632
MS
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
953632
MS
Other
Enumeration date
10/16/2009
Last updated
02/04/2014
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