Medical school: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated: 2016
NPI: 1699228734
Practice Locations (5)
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
ONSITE HEALTHCARE AND WELLNESS LLC
105 FRANKLIN SQUARE WAY, SUITE A
EASLEY, SC 296423715
8644424110
Source: CMS National Downloadable File, September 2026.