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

Timothy L Clark, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205576931

Timothy L Clark, DO is a Student in an Organized Health Care Education/Training Program in Tifton, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
Show map & directions

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

Additional practice locations (1)

  • 4700 Waters Ave, Savannah, GA 31404-6220 — (912) 350-8193

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 104963 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205576931
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing addressPo Box 2650, Tifton, GA 31793-2650

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