Graduated: 2009
Offers telehealth
NPI: 1063787638
Practice Locations (2)
LIFESOURCE OF NORTH CAROLINA
5530 NORTHOP RD
MILTON, FL 325708701
9107429243
LIFESOURCE OF NORTH CAROLINA
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 284032565
9107429243
Source: CMS National Downloadable File, September 2026.