Individual provider · Type 1 NPI
Tangela McCorkle, MS, ATC, LAT
Specialist · Suwanee, GA
NPI number
1407989783
Active
Practice location
4255 Johns Creek Pkwy, A
Suwanee, GA 30024-6038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AT001237 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
Other specialist providers in Suwanee
About NPI 1407989783
Tangela McCorkle, MS, ATC, LAT's National Provider Identifier is 1407989783, issued on Mar 14, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Suwanee, GA. The record was last updated on Jul 8, 2007.