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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FEDORA MCGILL

Active Sole Proprietor

FEDORA MCGILL is a Customized Equipment (DME) healthcare provider located in LAKE CITY, South Carolina. NPI 1679445209 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · LAKE CITY, SC

Registration Details

NPI Number
1679445209
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2025 (0.89984867601294 yrs)
Last Updated
Sep 23, 2025
Sole Proprietor
Yes

Practice Information

Address
117 N MCALLISTER ST
LAKE CITY, SC, 295602421
Browse SC providers · Browse ZIP 29560
Phone
8439567131
Primary Specialty
Customized Equipment (DME)
332BC3200X
Additional Specialty
Customized Equipment (DME)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.