Graduated: 2014
Offers telehealth
NPI: 1366908287
Practice Locations (3)
POARCH BAND OF CREEK INDIANS
5811 JACK SPRINGS RD
ATMORE, AL 365025025
LIFESOURCE OF NORTH CAROLINA
1424 MONTCLAIR RD
IRONDALE, AL 352102208
9107429243
LIFESOURCE OF NORTH CAROLINA
5530 NORTHOP RD
MILTON, FL 325708701
9107429243
Source: CMS National Downloadable File, September 2026.