Organization
MCCORKLE LABORATORY ENTERPRISE LLC
Active
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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