Organization
MEDICOMP, INC
Active
Parent organization
MEDICOMP, INC
Other names
Medicomp Physical Therapy Byram
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
7381 SIWELL RD, STE A, BYRAM, MS 39272-8974
(601) 373-2075
(601) 373-2077
Mailing address
110 PIONEER WAY, MAGEE, MS 39111
(601) 849-6440
(601) 373-2077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
PT2964
MS
Other
Enumeration date
09/28/2006
Last updated
02/04/2014
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