ROBERT B CLARK JR MD LLC
Medical Practice at Manning Dr, Vidalia, GA

License number
Georgia 020521
Category
Medical Practice
Type
Specialist
Owner
Name: PRISCILLA E EDGE
Title: CREDENTIALING
Phone: (912) 537-8691
Address
Address
1811 Manning Dr, Vidalia, GA 30474
National Provider ID: 1326079039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ROBERT B CLARK JR MD LLC at bizstanding.com

ROBERT B. CLARK, JR., M.D., LLC

101 Harris Industrial Blvd, Vidalia, GA

Status:
Inactive
Registration:
Apr 27, 2006
Inactive since:
May 16, 2008
State ID:
0635519
Business type:
Domestic Limited Liability Company
Agent:
Charles H. Andrew,404 Jackson St, Vidalia, GA 30474 (Physical)

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