Shelley Fegett
Licensed Practical Nurse in Surfside Beach, SC. Individual provider (NPI-1).
NPI number1124452776
StatusActive
Last updated in NPPESAug 29, 2013
Details
- NPI
- 1124452776
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shelley Fegett
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2013
- Last updated
- Aug 29, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | P41419 | SC | Yes |
Practice location
627 1st Ave NSurfside Beach, SC 29575-3811
Phone 843-241-7126
Mailing address
627 1st Ave NSurfside Beach, SC 29575-3811
Phone 843-241-7126
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