Organization
XCLUSIVELY BRANDED DBA FEDORA'S LUXE MEDICAL WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FEDORA MCGILL (MANAGER)
(843) 956-7131
Entity
Organization
Contact information
Practice address
117 N MCALLISTER ST, LAKE CITY, SC 29560-2421
(843) 956-7131
Mailing address
117 N MCALLISTER ST, LAKE CITY, SC 29560-2421
(843) 956-7131
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
10/03/2025
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