location
search-icon
institution
Robert B Clark Jr Md Llc
Specialist in Vidalia, Georgia
NPI 1326079039

Robert B Clark Jr Md Llc is a Specialist based in Vidalia, GA. Robert B Clark Jr Md Llc practices in Vidalia, GA. The NPI Number for Robert B Clark Jr Md Llc is 1326079039 and holds a License No. 020521 (Georgia).

The current practice location address for Robert B Clark Jr Md Llc is 1811 Manning Drive, Vidalia, GA and can be reached out via phone at 912-537-6634 and via fax at 912-537-1909.

Location: 1811 Manning Drive, Vidalia, GA, 30474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326079039
Provider Name
Robert B Clark Jr Md Llc
Credential
Provider Entity Type
Organization
Address
1811 Manning Drive, Vidalia, GA, 30474
Phone Number
912-537-6634
Fax Number
912-537-1909
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
449866340 01 GA MEDICAID REFERRAL
000177713D 05 GA
1144289349 01 GU PERSONAL NPI NUMBER 1144289349
GRP7739 01 GA MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1811 Manning Drive
City
Vidalia
State
Georgia
Zip
30474
Phone Number
912-537-6634
Fax Number
912-537-1909
person
Provider Business Mailing Address Details
Address
1811 Manning Drive
City
Vidalia
State
Georgia
Zip
30474
Phone Number
912-537-6634
Fax Number
912-537-1909
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
020521 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.