Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2017
Offers telehealth
NPI: 1598296956
Practice Locations (4)
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
LIFESOURCE OF NORTH CAROLINA
939 SPRINGDALE DR
CLINTON, SC 293257266
9107429243
LIFESOURCE PRIME INC
939 SPRINGDALE DR
CLINTON, SC 293257266
9107429243
Source: CMS National Downloadable File, September 2026.