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Organization
LIFESOURCE ACCOUNTABILITY INC
Active
Organization
LIFESOURCE ACCOUNTABILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERYN M ROBBINS (VICE PRESIDENT OF OPERATIONS)
(910) 622-2319
Entity
Organization
Contact information
Practice address
939 SPRINGDALE DR, CLINTON, SC 29325-7266
(910) 742-9243
(888) 746-1787
Mailing address
3205 RANDALL PKWY STE 105, WILMINGTON, NC 28403-2565
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
09/10/2026
Last updated
09/10/2026
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