Search › Louisiana › 207X00000X
John Fairbanks, M.D
NPI 1669491288 · on the registry since 2006 · sole proprietor
Practice
- Address
- 107 Front St
Suite 2134
Vidalia, LA 71373 - Phone
- (318) 336-2212
- Fax
- (318) 336-6067
- Organisation at this address
- River Park Asc Llc
Vicksburg Clinic Llc
Royal Surgery Center
J H Fairbanks Md Pllc
Tillman Medical Group PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 207X00000X
207XX0005X - Licence states on file
- MS, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana