Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lifesource Prime Inc

Organization Family Medicine Physician · NPI 1851143523

Lifesource Prime Inc is a Family Medicine Physician in Clinton, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
8
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

939 Springdale Dr
Clinton, SC 29325-7266
Phone: (910) 742-9243
Fax: (888) 746-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1851143523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Baddour — President/Owner · (910) 742-9243
NPI enumeratedApril 4, 2024
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing addressPo Box 740343, Atlanta, GA 30374-0343

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