Individual
DR. GREGORY JAY STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
(252) 823-3164
Mailing address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
(252) 823-3164
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200001621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891285J
—
NC
Enumeration date
03/31/2006
Last updated
01/12/2022
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