Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Life Source, PC

Organization Family Medicine Physician · NPI 1124460985

Life Source, PC provides Family Medicine Physician services in Holly Springs, North Carolina. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1108 Kentworth Dr Ste 704
Holly Springs, NC 27540-3325 Not confirmed with CMS for 13 years — call before visiting
Phone: (919) 552-9952
Fax: (919) 552-3062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124460985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Feyisayo Adeyina — Owner · (919) 552-9952
NPI enumeratedJuly 22, 2013
Last updated in NPPESJuly 22, 2013
Mailing address1108 Kentworth Dr, Suite 704, Holly Springs, NC 27540-3325

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