Lifesource of North Carolina

NPI #1821535428 in Irondale, Alabama

Provider Information

NPI Number: 1821535428
Entity Type: Organization
Organization Name: Lifesource of North Carolina
Subpart: Yes (part of a larger organization)
Parent Organization: LIFESOURCE OF NORTH CAROLINA
Primary Specialty: General Practice
Enumeration Date: Jan 21, 2017
Last Updated: Mar 26, 2021

Practice Location

Address: 1424 MONTCLAIR RD
City: Irondale
State: Alabama
ZIP Code: 35210-2208
Phone: (910) 742-9243

Authorized Official

Name: PEGGY BADDOUR
Title: PRESIDENT/OWNER
Phone: (910) 777-9165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Social Worker - Clinical — Clinical	1041C0700X
Family Medicine	207Q00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
General Practice	208D00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Scott Hull Boswell, M.D., M.P.H.	General Practice	Jasper	AI Deep Dive
Matthew Joseph Reardon, M.D., MPH	General Practice	Birmingham	AI Deep Dive
DR. Jade Spurgeon, MD	General Practice	Maxwell Afb	AI Deep Dive
DR. Keith Raymond Kulow, M. D.	General Practice	Maxwell Afb	AI Deep Dive

Organizations

Provider Name	Specialty	City
Eterna Primary Care of Alabama LLC Part of Eterna Primary Care LLC	General Practice	Irondale	AI Deep Dive

Want to research this healthcare provider further?