Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miracle Medical Supply, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1457772014

Miracle Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies in Laurel, Mississippi. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Ellisville Blvd
Laurel, MS 39440-4519
Phone: (601) 428-4668
Fax: (601) 428-4668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1457772014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Pugh — Owner · (601) 428-4668
NPI enumeratedDecember 30, 2013
Last updated in NPPESDecember 10, 2014
Mailing address111 Ellisville Blvd, Laurel, MS 39440-4519

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