Graduated: 2023
NPI: 1811630544
Practice Locations (2)
LIFESOURCE OF NORTH CAROLINA
1345 REDMOND CIR NW
ROME, GA 301651307
9107429243
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
2201 S STERLING ST
MORGANTON, NC 286554044
8285806393
Source: CMS National Downloadable File, September 2026.