Organization · Type 2 NPI

Lifesource Accountability Inc

Family Medicine Physician · Clinton, SC

NPI number 1417867417 Active

Practice location

939 Springdale Dr
Clinton, SC 29325-7266

Call (910) 742-9243 Map

Fax (888) 746-1787

Mailing address

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
General Practice Physician 208D00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Primary Care Nurse Practitioner 363LP2300XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12 other providers at this address

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About NPI 1417867417

Lifesource Accountability Inc's National Provider Identifier is 1417867417, issued on Sep 10, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Clinton, SC. The record was last updated on Sep 10, 2026.