Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE CLEMENTS TARRY, MD
ActiveWALLACE CLEMENTS TARRY, MD is a Vascular Surgery healthcare provider located in MOORESVILLE, North Carolina. NPI 1205804945 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MOORESVILLE, NC
Registration Details
- NPI Number
- 1205804945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.474502465523 yrs)
- Last Updated
- Jul 16, 2024
- Licenses
-
200200613 (NC)200200613 (NC)
Practice Information
- Address
-
146 MEDICAL PARK RDSTE 206MOORESVILLE, NC, 281178528Browse NC providers · Browse ZIP 28117
- Phone
- 7047993939
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.