Accepts Medicare (pay less out of pocket)
Group Affiliations
Address
4002 Executive Park Blvd,
Suite 300,
Southport 28461-9080, NC
Phone
(910) 742-9243
Specialty
Clinical Psychologist
Gender
M
Medical School
Other
Graduation Year
1974
Offers Telehealth Services
Yes
Accepts Medicare Assignment
Yes
Facility Type
Group
Group Name
LIFESOURCE OF NORTH CAROLINAMember Count
156
Accepts Medicare Assignment
Y
Practice State: NC
Line Service Count: 403
Beneficiary Count: 36
4002 Executive Park Blvd
Suite 300
Southport, NC 28461
-9080
Phone: (910)
742-9243