| Medicomp Health Services | |
|
9566 Blackwolf Run Douglasville GA 30135-2072 | |
| (678) 838-9062 | |
| (678) 263-4572 |
| Full Name | Medicomp Health Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9566 Blackwolf Run, Douglasville, Georgia |
| Authorized Official Name and Position | Ellis Hunter (PRESIDENT/CEO) |
| Authorized Official Contact | 6788389062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicomp Health Services 9566 Blackwolf Run Douglasville GA 30135-2072 Ph: (678) 838-9062 | Medicomp Health Services 9566 Blackwolf Run Douglasville GA 30135-2072 Ph: (678) 838-9062 |
| NPI Number | 1952663478 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952663478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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