Organization
SUGAFOOT MEDICAL EQUIPMENT
Active
Other names
SugaFoot Medical Footwear, Essential Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA THEDFORD (DIRECTOR)
(601) 207-5085
Entity
Organization
Contact information
Practice address
3304 8TH ST, MERIDIAN, MS 39301-4755
(601) 326-2425
(386) 343-7195
Mailing address
3304 8TH ST, B OFFICE, MERIDIAN, MS 39301-4755
(601) 326-2526
(386) 343-7195
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332H00000X
Eyewear Supplier
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/07/2025
Last updated
05/08/2026
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