Samuel Fairbanks, DO
NPI #1912407511 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1912407511
- Entity Type
- Individual
- Name
- Samuel Fairbanks, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- DO
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Aug 1, 2023
Practice Location
- Address
- 6600 VAN AALST BLVD
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (762) 408-2001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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