IndividualActive
Alexis Stark
NPI 1780525063 · Student in an Organized Health Care Education/Training Program · Greenville, SC
Provider details
- NPI number
- 1780525063
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 522-5220
Approximate (ZIP-level) locationGet directions
Mailing address
701 Grove Rd
Greenville, SC 29605-4210
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.