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

Alexis Stark

Individual provider Pediatrics Physician · NPI 1780525063

Alexis Stark is a Pediatrics Physician in Greenville, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 522-5220
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence LL97036 (SC)

Record details

NPI number1780525063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2026
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026

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