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LIFESOURCE OF NORTH CAROLINA
Internal Medicine Physician
NPI: 1811286156Organization
Specialties, Licenses & Credentials
Physician Assistant
Physician Assistant
Code: 363A00000X
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
Clinical Psychologist
Psychologist — Clinical
Code: 103TC0700X
Clinical Social Worker
Social Worker — Clinical
Code: 1041C0700X
Family Medicine Physician
Family Medicine
Code: 207Q00000X
Psychiatry Physician
Psychiatry & Neurology — Psychiatry
Code: 2084P0800X
Internal Medicine PhysicianPrimary
Internal Medicine
Code: 207R00000X
Contact & Hours
Via practice · 2 locations total
- Address
- 4002 Executive Park Blvd Ste 300
Southport, NC 28461 - Phone
- (910) 742-9243
Quick Facts
- NPI
- 1811286156
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 7
- Locations
- 2
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