Graduated: 2024
NPI: 1386404630
Practice Locations (3)
LIFESOURCE OF NORTH CAROLINA
1345 REDMOND CIR NW
ROME, GA 301651307
9107429243
PERSONAL RECOVERY NETWORK LLC
4849 PAULSEN ST, SUITE 209
SAVANNAH, GA 314054425
9126008800
PERSONAL RECOVERY NETWORK LLC
250 CORPORATE CTR CT
STOCKBRIDGE, GA 302816388
7709548685
Source: CMS National Downloadable File, September 2026.