| NPI | 1003576018 |
|---|---|
| Doing Business As | MCCORKLE LABORATORY ENTERPRISE LLC |
| Entity Type | Organization |
| Authorized Contact | TYRIA MCCORKLE CEO 336-800-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-12-19 |
| Last Update Date | 2021-12-19 |