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Organization
MEDICOMP INC.
Active
Organization
MEDICOMP INC.
Active
Other names
Medicomp Physical Therapy Collins
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DUGGAR (EXECUTIVE DIRECTOR)
(601) 824-8914
Entity
Organization
Contact information
Practice address
710 MAIN STREET, SUITE 10, COLLINS, MS 39428-6293
(601) 824-8914
(601) 824-8828
Mailing address
2015 HIGHPOINTE DRIVE, BRANDON, MS 39042-3169
(601) 824-8914
(601) 824-8828
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/27/2016
Last updated
10/19/2016
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