Dr. Stephanie Marie Glass Clark, MD
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Greenville, NC. Individual provider (NPI-1).
NPI number1083000988
StatusActive
Last updated in NPPESOct 19, 2026
Details
- NPI
- 1083000988
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Marie Glass Clark
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2015
- Certification date
- Oct 19, 2026
- Last updated
- Oct 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | 2025-01079 | NC | Yes |
| 207V00000X | Obstetrics & Gynecology | 2025-01079 | NC |
Practice location
2160 Herbert CtGreenville, NC 27834-3736
Phone 252-744-3850 · Fax 252-744-1469
Mailing address
Po Box 751069Charlotte, NC 28275-1069
Other practice locations
101 Manning Dr
Chapel Hill, NC 27514-4220
Chapel Hill, NC 27514-4220
Phone 919-966-7890 · Fax 919-966-9533
4325 Lake Boone Trl Ste 315
Raleigh, NC 27607-7510
Raleigh, NC 27607-7510
Phone 984-974-0496
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.