Organization
MEDICOMP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S MCNULTY III CRT (PRESIDENT)
(601) 849-4112
Entity
Organization
Contact information
Practice address
301 8TH AVE SW, MAGEE, MS 39111-3967
(601) 849-6440
(601) 849-7557
Mailing address
PO BOX 426, MAGEE, MS 39111-0426
(601) 849-6440
(601) 849-7557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/09/2006
Last updated
06/02/2008
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