Organization
MEDICOMP, INC
Active
Parent organization
MEDICOMP, INC
Other names
Medicomp Physical Therapy Jackson
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICOMP, INC
Authorized official
JOSEPH MCNULTY III (CEO)
(601) 849-6440
Entity
Organization
Contact information
Practice address
1054 GREYMONT AVE, JACKSON, MS 39202-2718
(601) 355-9624
(601) 353-6151
Mailing address
110 PIONEER WAY, MAGEE, MS 39111
(601) 849-6440
(601) 353-6151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
MS
Other
Enumeration date
08/29/2006
Last updated
02/04/2014
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