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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK D FAIR, MD

Active Sole Proprietor

JACK D FAIR, MD is a Family Medicine healthcare provider located in NATCHITOCHES, Louisiana. NPI 1568673028 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NATCHITOCHES, LA

Registration Details

NPI Number
1568673028
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2007 (19.219172827036 yrs)
Last Updated
Mar 31, 2010
License
202650 (LA)
Sole Proprietor
Yes

Practice Information

Address
615 BIENVILLE ST
NATCHITOCHES, LA, 714575730
Browse LA providers · Browse ZIP 71457
Phone
3183526800
Fax
3183526803
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in NATCHITOCHES, LA

Name Credential NPI
DR. JAMES DARYL KNECHT M.D. 1023013752
MR. BRYAN ANTHONY PICOU M.D 1922003656
DR. JOHN EDWARD HOGG MD 1760488969
MRS. MARGUERITE B. PICOU M.D. 1033115159
JOAN WALKER MD 1861484933
DR. CHERILYNNE TONI COTTLES M.D. 1346209921
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.