Carolina Vascular Specialists, Pa

LBN: Carolina Vascular Specialists, Pa
Carolina Vascular Specialists, Pa is an health care organization with primary practice located at 146 Medical Park Rd Suite 102, Mooresville NC 28117-8528. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Carolina Vascular Specialists, Pa can be contacted via phone (704) 799-3939, or through Tarry, Wallace C via phone (704) 799-3939.

Contact Information

Primary practice address
146 Medical Park Rd Suite 102 Mooresville NC 28117-8528
Phone: (704) 799-3939
Fax: (704) 799-8748
Website:
Map and Directions
Authorized official contact:
Name: Tarry, Wallace C Doctor of Medicine (MD)
Phone: (704) 799-3939

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1750671723
LBN Legal business name Carolina Vascular Specialists, Pa
DBA Doing business as
Authorized official Tarry, Wallace C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2011
Last updated Oct 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750671723 NPPES
North Carolina MEDICAID 5917234

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