| Organization Name: | MEDICOMP, INC. |
| NPI Number: | 1336509728 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH S MCNULTY (CEO) |
| Mailing Address: | 3454 Highway 80 E Pearl |
| State: | MS US |
| Postal Code: | 392084001 |
| Phone Number: | 6018248914 |
| Fax Number: | 6018248828 |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 03/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |