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NPI Code Detail

MEDICARE: SUGAFOOT MEDICAL EQUIPMENT

MEDICARE: SUGAFOOT MEDICAL EQUIPMENT
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
1332H00000XEyewear Supplier
2335E00000XProsthetic/Orthotic Supplier
3332900000XNon-Pharmacy Dispensing Site
4332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1548054349
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUGAFOOT MEDICAL EQUIPMENT
Provider Business Mailing Address
First Line : 3304 8TH ST
Second Line : B OFFICE
City : MERIDIAN
State : MS
Zip : 39301-4755
Country : US
Telephone Number : 601-326-2526
Fax Number : 386-343-7195
Provider Business Practice Location Address
First Line : 3304 8TH ST
Second Line :
City : MERIDIAN
State : MS
Zip : 39301-4755
Country : US
Telephone Number : 601-326-2425
Fax Number : 386-343-7195
Authorized Official
Title or Position : DIRECTOR
Name : SHANA THEDFORD
Credential :
Telephone Number : 601-207-5085
Provider Enumeration Date : 04/07/2025
Last Update Date : 05/08/2026

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Directions to “SUGAFOOT MEDICAL EQUIPMENT ” Practice Location

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