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NPI Code Detail

MEDICARE: MEDICOMP, INC

MEDICARE: MEDICOMP, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1588042451
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICOMP, INC
Provider Business Mailing Address
First Line : 110 PIONEER WAY
Second Line :
City : MAGEE
State : MS
Zip : 39111-5501
Country : US
Telephone Number : 601-849-6440
Fax Number : 601-849-6443
Provider Business Practice Location Address
First Line : 513 W MARION AVE
Second Line :
City : CRYSTAL SPRINGS
State : MS
Zip : 39059-2748
Country : US
Telephone Number : 888-976-2667
Fax Number : 601-824-8828
Authorized Official
Title or Position : CEO
Name : JOSEPH MCNULTY
Credential :
Telephone Number : 601-849-6440
Provider Enumeration Date : 05/12/2015
Last Update Date : 05/12/2015

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Directions to “MEDICOMP, INC ” Practice Location

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