LIFESOURCE PRIME INC

WILMINGTON, NC
NPI1598533275
Entity TypeOrganization
Authorized ContactPEGGY BADDOUR
CEO
910-742-9243
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-12-13
Last Update Date2023-12-27
Business Address
LIFESOURCE PRIME INC
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403-2565
Phone number: 910-742-9243
Mailing Address
LIFESOURCE PRIME INC
PO BOX 538622
ATLANTA, GA 30353-8622
Phone number: 910-338-2882
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