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

Fedrick Group, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1205071867

Fedrick Group, LLC is a Prosthetic/Orthotic Supplier in Lawrenceville, Georgia. Registered with an NPI since 2008.

In the registry since
2008
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

875 Lawrenceville Suwanee Rd Ste 310
Lawrenceville, GA 30043-8479
Phone: (678) 377-2788
Fax: (678) 377-2788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1205071867
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kasinda Fedrick — Partner · (678) 377-2788
Other names The Athlete'S Foot
NPI enumeratedDecember 11, 2008
Last updated in NPPESDecember 11, 2008
Mailing address875 Lawrenceville Suwanee Rd, Suite 310, Lawrenceville, GA 30043-8479

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