SAMUEL FAIRBANKS

FORT MOORE, GA
NPI1912407511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0102205769)
Enumeration Date2018-02-20
Last Update Date2023-08-01
Business Address
SAMUEL FAIRBANKS DO
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-2001
Mailing Address
SAMUEL FAIRBANKS DO
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-2001
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