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
—
—
225X00000X
Occupational Therapist
953632
MS
Other
Enumeration date
10/16/2009
Last updated
02/04/2014
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