Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert B Clark Jr MD LLC

Organization Specialist · NPI 1326079039

Robert B Clark Jr MD LLC is a Specialist in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1811 Manning Dr
Vidalia, GA 30474
Phone: (912) 537-6634
Fax: (912) 537-1909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 020521 (GA)

Record details

NPI number1326079039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Priscilla Edge — Credentialing · (912) 537-8691
NPI enumeratedJuly 5, 2006
Last updated in NPPESMarch 27, 2013
Mailing address1811 Manning Drive, Vidalia, GA 30474

Other providers in Vidalia