Individual
DR. STEPHANIE MARIE GLASS CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-7890
(919) 966-9533
Mailing address
4325 LAKE BOONE TRL STE 315, RALEIGH, NC 27607-7510
(919) 974-0496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2025-01079
NC
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
2025-01079
NC
Other
Enumeration date
04/08/2015
Last updated
10/16/2025
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