SAMUEL FAIRBANKS, DO
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1912407511
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | 0102205769 (VA) |
Frequently Asked Questions
NPI 1912407511 is the National Provider Identifier for SAMUEL FAIRBANKS, DO, a Radiology - Diagnostic Radiology provider located in Fort Moore, GA. This NPI was enumerated on February 20, 2018.
SAMUEL FAIRBANKS, DO practices at 6600 VAN AALST BLVD, Fort Moore, GA 31905.
Quick Facts
- NPI
- 1912407511
- Type
- Individual
- Enumerated
- Feb 20, 2018
- Last Updated
- Aug 1, 2023
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