Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Robert Bicknell Clark Jr., MD, FACS

Individual provider Surgery Physician · NPI 1144289349

Dr. Robert Bicknell Clark Jr., MD, FACS is a Surgery Physician 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?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

1811 Manning Dr
Vidalia, GA 30474-8921
Phone: (912) 537-6344
Fax: (912) 537-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 020521 (GA)

Record details

NPI number1144289349
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACS
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESMarch 19, 2013

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