Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL FAIRBANKS, DO
ActiveSAMUEL FAIRBANKS, DO is a Diagnostic Radiology healthcare provider located in FORT MOORE, Georgia. NPI 1912407511 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · FORT MOORE, GA
Registration Details
- NPI Number
- 1912407511
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2018 (8.4412942941406 yrs)
- Last Updated
- Aug 1, 2023
- License
-
0102205769 (VA)
Practice Information
- Address
-
6600 VAN AALST BLVDFORT MOORE, GA, 319052102Browse GA providers · Browse ZIP 31905
- Phone
- 7624082001
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in FORT MOORE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. ILDEFONSO G.D. ALMONTE | M.D. | 1598853319 |
| DR. WHITNEY BOLAND BOND | MD, MPH | 1497180558 |
| DR. JUAN DANIEL MENDOZA | MD | 1083148126 |
| DR. YOLANDA MARIA MIROBALLI MENDOZA | MD | 1265966303 |
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.