Individual
ALEXIS MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
PO BOX 38508, CHARLOTTE, NC 28278-1009
(704) 638-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03351
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101630
—
NC
Enumeration date
11/29/2011
Last updated
03/19/2014
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