Clark, Robert Bicknell
Clark, Robert Bicknell is an individual health care provider with primary practice located at 1811 Manning Dr , Vidalia GA 30474-8921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Clark, Robert Bicknell can be contacted via phone (912) 537-6344.Contact Information
Primary practice address
1811 Manning Dr
Vidalia GA 30474-8921
Phone: (912) 537-6344
Fax: (912) 537-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 020521 | Georgia |
Profile Details
| NPI number | 1144289349 |
|---|---|
| LBN Legal business name | Clark, Robert Bicknell |
| Credentials | M.D.,F.A.C.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 19th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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