Graduated: 2012
NPI: 1003259235
Practice Locations (3)
LIFESOURCE OF NORTH CAROLINA
939 SPRINGDALE DR
CLINTON, SC 293257266
9107429243
LIFESOURCE PRIME INC
939 SPRINGDALE DR
CLINTON, SC 293257266
9107429243
PALMETTO GERIATRICS LLC
156 MILESTONE WAY, BLDG B SUITE 7
GREENVILLE, SC 296156608
8644440082
Source: CMS National Downloadable File, September 2026.