Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Vascular Specialists, PA

Organization Vascular Surgery Physician · NPI 1750671723

Carolina Vascular Specialists, PA is a Vascular Surgery Physician in Mooresville, North Carolina. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

146 Medical Park Rd Ste 102
Mooresville, NC 28117-8528
Phone: (704) 799-3939
Fax: (704) 799-8748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1750671723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Tarry — Owner/Provider · (704) 799-3939
NPI enumeratedApril 12, 2011
Last updated in NPPESOctober 13, 2011
Mailing address146 Medical Park Rd, Suite 102, Mooresville, NC 28117-8528