Life Source, Pc

LBN: Life Source, Pc
Life Source, Pc is an health care organization with primary practice located at 1108 Kentworth Dr Suite 704, Holly Springs NC 27540-3325. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Life Source, Pc can be contacted via phone (919) 552-9952, or through Adeyina, Feyisayo via phone (919) 552-9952.

Contact Information

Primary practice address
1108 Kentworth Dr Suite 704 Holly Springs NC 27540-3325
Phone: (919) 552-9952
Fax: (919) 552-3062
Website:
Map and Directions
Authorized official contact:
Name: Adeyina, Feyisayo Doctor of Medicine (MD)
Phone: (919) 552-9952

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1124460985
LBN Legal business name Life Source, Pc
DBA Doing business as
Authorized official Adeyina, Feyisayo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2013
Last updated Jul 22nd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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