Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY L CLARK, DO
ActiveTIMOTHY L CLARK, DO is a Pediatrics healthcare provider located in TIFTON, Georgia. NPI 1205576931 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · TIFTON, GA
Registration Details
- NPI Number
- 1205576931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2022 (4.3318654010723 yrs)
- Last Updated
- Jul 3, 2025
- License
-
104963 (GA)
Practice Information
- Address
-
901 18TH ST ETIFTON, GA, 317943648Browse GA providers · Browse ZIP 31794
- Phone
- 2293827120
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| ALBERT D COPELAND JR. | M.D. | 1912906199 |
| DR. QAMAR U SHAIKH | M.D. | 1003879412 |
| TERESA C STEWART | MD | 1912957655 |
| CHERYL GATEWOOD TOLLIVER | M.D. | 1962513515 |
| DR. NANDLAL CHAINANI | M.D. | 1952482135 |
| DR. NIKKIA F. JOHNSON | MD | 1750402731 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.