# HARRIS MEDICAL SUPPLY GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063536852
- **Authorized official:** MR. TERRIS CATON HARRIS J.D., LL.M. (CEO)
- **Authorized official phone:** (601) 427-2469

## Contact information

- **Practice address:** 720 AVIGNON DR, SUITE 3, RIDGELAND, MS 39157-5166
- **Practice address phone:** (601) 427-2469
- **Practice address fax:** (866) 860-3857
- **Mailing address:** PO BOX 806, RIDGELAND, MS 39158-0806
- **Mailing address phone:** (601) 427-2469
- **Mailing address fax:** (866) 860-3857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BD1200X | Dialysis Equipment & Supplies (DME) | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 09/11/2025
