WALLACE CLEMENTS TARRY

MOORESVILLE, NC
NPI1205804945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: NC  200200613)
Additional Taxonomies208600000X Surgery
(Licence: NC  200200613)
Enumeration Date2006-03-09
Last Update Date2024-07-16
Business Address
WALLACE CLEMENTS TARRY MD
146 MEDICAL PARK RD STE 206
MOORESVILLE, NC 28117-8528
Phone number: 704-799-3939
Mailing Address
WALLACE CLEMENTS TARRY MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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