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Licensee Information

Wallace Clements Tarry - MD
200200613
Active
No
05/16/2002
11/08/2026

Active Supervisees

NameTypeStatusApprovedInactive
Bloom, Kathleen Rockholt Nurse Practitioner Active 03/10/2020
Busch, Tracy Elizabeth Nurse Practitioner Active 09/16/2024
Carpenter, Jean M. Nurse Practitioner Active 07/14/2018
Carter, Savannah Margaret Physician Assistant Active 12/06/2024
Mccain, Leah Nurse Practitioner Active 07/27/2020
Mccoy, Jamie Elizabeth Physician Assistant Active 01/17/2025
Oakes, Alexandra Elizabeth Physician Assistant Active 01/28/2025
Simpson, Katelynne Poole Physician Assistant Active 02/10/2026
Surane, Jessica Marie Physician Assistant Active 02/02/2020

North Carolina Hospital Admitting Privileges

Location
Atrium Health Mercy
Carolinas Medical Center- NE
Lake Norman Regional Medical Center

Out of State Active/Inactive Licenses

State
Georgia
New York
Vermont
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported

Address

Sanger Heart & Vascular Institute
146 Medical Park Rd, Ste 206
Mooresville, NC 28117
704-799-3939

Information

Monday through Friday
Our practice focuses on the treatment of peripheral vascular disease. We evaluate and manage the complete spectrum of arterial and venous disorders.
Yes
Yes
Yes
Yes
Yes

Medical School

SchoolGraduation
Duke1989

Post Graduate Training

"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)

InstitutionSpecialtyState, CountryTraining ProgramLast Year
Dartmouth-Hitchcock Medical CenterVascular Surgery NH, US Fellowship1998
Medical College of VirginiaGeneral Surgery VA, US Residency1996

Current Board Certification and Year of Certification/Recertification

Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.

Primary/SubspecialtyYear
Surgery2018
Vascular Surgery2019

Area of Practice

Area Of PracticePrimary
Vascular SurgeryYes

Current Membership in Medical Professional Organizations

Membership
Fellow-American College of Surgeons
North Carolina Medical Society

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 8/20/2026 7:36:45 PM

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