| Samuel Fairbanks, DO | |
|
6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 | |
| (762) 408-2001 | |
| Not Available |
| Full Name | Samuel Fairbanks |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 6600 Van Aalst Blvd, Fort Moore, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912407511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0102205769 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Fairbanks, DO 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2001 | Samuel Fairbanks, DO 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2001 |
Dr. Whitney Boland Bond, MD, MPH Radiology Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2005 | |
Dr. Ildefonso G.d. Almonte, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2014 |