# MEDICOMP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730276999
- **Authorized official:** MR. JOSEPH S MCNULTY III CRT (PRESIDENT)
- **Authorized official phone:** (601) 849-4112

## Contact information

- **Practice address:** 301 8TH AVE SW, MAGEE, MS 39111-3967
- **Practice address phone:** (601) 849-6440
- **Practice address fax:** (601) 849-7557
- **Mailing address:** PO BOX 426, MAGEE, MS 39111-0426
- **Mailing address phone:** (601) 849-6440
- **Mailing address fax:** (601) 849-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 06/02/2008