| Organization Name: | MEDICOMP, INC |
| NPI Number: | 1548305360 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH MCNULTY (CEO) |
| Mailing Address: | 110 Pioneer Way Magee |
| State: | MS US |
| Postal Code: | 39111 |
| Phone Number: | 6018496440 |
| Fax Number: | 6018497557 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 1692 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |