Individual provider · Type 1 NPI

Wallace Clements Tarry, MD

Vascular Surgery Physician · Mooresville, NC

NPI number 1205804945 Active

Practice location

146 Medical Park Rd, Ste 206
Mooresville, NC 28117-8528

Call (704) 799-3939 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

1237 Harding Pl, Ste 3100, Charlotte, NC 28204 · (704) 373-0212
134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 · (704) 801-9100
101 E W T Harris Blvd, Ste 1213, Charlotte, NC 28262-3485 · (704) 863-1950
447 Mcalister Rd, Ste 3200, Lincolnton, NC 28092-4114 · (980) 212-6300

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	200200613 (NC)
Vascular Surgery Physician Primary	2086S0129X	200200613 (NC)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

7 other providers at this address

About NPI 1205804945

Wallace Clements Tarry, MD's National Provider Identifier is 1205804945, issued on Mar 9, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Mooresville, NC. The record was last updated on Jul 16, 2024.