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Samuel Fairbanks, DO
Diagnostic Radiology Physician in Fort Moore, Georgia
NPI 1912407511

Samuel Fairbanks is a Diagnostic Radiology Physician based in Fort Moore, GA and is specialized in Diagnostic Radiology. Samuel Fairbanks practices in Fort Moore, GA and has the professional credentials of DO. The NPI Number for Samuel Fairbanks is 1912407511 and holds a License No. 0102205769 (Georgia).

The current practice location address for Samuel Fairbanks is 6600 Van Aalst Blvd, Fort Moore, GA and can be reached out via phone at 762-408-2001.

Location: 6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912407511
Provider Name
Samuel Fairbanks
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Phone Number
762-408-2001
Fax Number
Provider Enumeration Date
02/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-2001
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-2001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0102205769 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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