All Medicaid billing entities listing TARRY, WALLACE (OWNER/PROVIDER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| North Carolina | 1 | $714.09 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CAROLINA VASCULAR SPECIALISTS, PA | MOORESVILLE, NC | Vascular Surgery Physician | $714.09 |