Individual provider · Type 1 NPI
Fedora McGill
Customized Equipment (DME) · Lake City, SC
NPI number
1679445209
Active
Practice location
117 N Mcallister St
Lake City, SC 29560-2421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist | 224P00000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1679445209
Fedora McGill's National Provider Identifier is 1679445209, issued on Sep 23, 2025. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Lake City, SC. The record was last updated on Sep 23, 2025.