Organization
MEDICOMP HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS HUNTER (PRESIDENT/CEO)
(678) 838-9062
Entity
Organization
Contact information
Practice address
9566 BLACKWOLF RUN, DOUGLASVILLE, GA 30135-2072
(678) 838-9062
(678) 263-4572
Mailing address
9566 BLACKWOLF RUN, DOUGLASVILLE, GA 30135-2072
(678) 838-9062
(678) 263-4572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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