Organization
MCCORKLE LABORATORY ENTERPRISE LLC
Active
Other names
McCorkle Laboratory Enterprise LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYRIA MCCORKLE (CEO)
(336) 800-5227
Entity
Organization
Contact information
Practice address
500 W 5TH ST STE 800, WINSTON SALEM, NC 27101-3131
(336) 800-5227
Mailing address
500 W 5TH ST STE 800, WINSTON SALEM, NC 27101-3131
(336) 800-5227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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