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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: August 09, 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
Phone(912) 537-6344
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
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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.

DR. RAVI J PATEL MD
General Practice
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-7476
SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL
Internal Medicine (Nephrology)
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 535-2554
VIDALIA FAMILY HEALTH CLINIC LLC
Specialist
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 537-7674
RESTORE WELLNESS AND AESTHETICS
General Practice
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 733-4555
CYNTHIA KAYE HOLTON NP-C
Nurse Practitioner (Adult Health)
1811 MANNING DR
VIDALIA, GA 30474
Toombs County (912) 733-4555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Clark's NPI number?

The NPI number for Robert Clark is 1144289349. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Robert Clark located?

Robert Clark practices at 1811 Manning Dr, Vidalia, GA 30474. The listed phone number is (912) 537-6344.

What is Robert Clark's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Robert Clark was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.