| Lifesource Prime Inc | |
|
1345 Redmond Cir Nw Rome GA 30165-1307 | |
| (910) 742-9243 | |
| (888) 746-1787 |
| Full Name | Lifesource Prime Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1345 Redmond Cir Nw, Rome, Georgia |
| Authorized Official Name and Position | Tabitha Hoffman (CREDENTIALING) |
| Authorized Official Contact | 9107779165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesource Prime Inc Po Box 740343 Atlanta GA 30374-0343 Ph: (910) 742-9243 | Lifesource Prime Inc 1345 Redmond Cir Nw Rome GA 30165-1307 Ph: (910) 742-9243 |
| NPI Number | 1841155181 |
|---|---|
| Provider Enumeration Date | 12/18/2025 |
| Last Update Date | 12/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841155181 | NPI | - | NPPES |
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