Tarry, Wallace Clements

Tarry, Wallace Clements is an individual health care provider with primary practice located at 146 Medical Park Rd Ste 206, Mooresville NC 28117-8528. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Tarry, Wallace Clements can be contacted via phone (704) 799-3939.

Contact Information

Primary practice address
146 Medical Park Rd Ste 206 Mooresville NC 28117-8528
Phone: (704) 799-3939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 200200613 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 200200613 North Carolina

Profile Details

NPI number 1205804945
LBN Legal business name Tarry, Wallace Clements
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 16th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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