DR. ROBERT BICKNELL CLARK JR. M.D.,F.A.C.S.
NPI 1144289349
Surgery in Vidalia, GA

Active since March 17, 2006
1811 MANNING DR, VIDALIA, GA 30474(912) 537-6344(912) 537-1901 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert Bicknell Clark Jr. M.d.,f.a.c.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT BICKNELL CLARK JR. M.D.,F.A.C.S. (NPI 1144289349) is an individual surgery provider in Vidalia, Georgia, licensed in Georgia (020521) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1144289349
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT BICKNELL CLARK JR.Credential: M.D.,F.A.C.S.
Location Address1811 MANNING DRVidalia, GA 30474-8921
Mailing Address1811 Manning DrVidalia, GA 30474-8921 · (912) 537-6344 · Fax (912) 537-1901
Fax(912) 537-1901
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateMarch 19, 2013
NPI 1144289349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 020521
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1811 MANNING DR, Vidalia, GA 30474

Other Identifiers 1

Medicare UPIND45073GA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1811 MANNING DR
VIDALIA, GA 30474
Specialist
1811 MANNING DR
VIDALIA, GA 30474
Internal Medicine (Nephrology)
1811 MANNING DR
VIDALIA, GA 30474
General Practice
1811 MANNING DR
VIDALIA, GA 30474
Nurse Practitioner (Adult Health)
1811 MANNING DR
VIDALIA, GA 30474

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144289349, enumerated as an "individual" on March 17, 2006.

The provider is located at 1811 MANNING DR VIDALIA, GA 30474 and the phone number is (912) 537-6344.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.