Graduated: 2015
NPI: 1427421189
Practice Locations (3)
UNC PHYSICIANS NETWORK LLC
6021 POYNER VILLAGE PKWY, SUITE 101
RALEIGH, NC 276163398
9842154940
LIFESOURCE OF NORTH CAROLINA
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 284032565
9107429243
LIFESOURCE PRIME INC
3205 RANDALL PKWY, SUITE 105
WILMINGTON, NC 284032565
9107429243
Source: CMS National Downloadable File, September 2026.