J H Fairbanks MD PLLC
J H Fairbanks MD PLLC is an Orthopaedic Surgery Physician in Vidalia, Louisiana. Licensed in Louisiana and Mississippi. Registered with an NPI since 2006.
- Licensed in
- LA, MS
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address may be wrong
107 Frnt ST Ste 230Vidalia, LA 39120
Phone: (318) 336-2212
Fax: (318) 336-6067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence MD017268 (LA) |
|---|---|
| Orthopaedic Surgery Physician | Taxonomy 207X00000X · Licence 15703 (MS) |
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X · Licence MD017268 (LA) |
Record details
| NPI number | 1336209550 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | J H Fairbanks MD PLLC |
| Authorized official | Angel Nugent — Manager · (318) 336-2212 |
| Other names | Riverpark Sports Medicine And Physical Therapy |
| NPI enumerated | December 11, 2006 |
| Last updated in NPPES | July 3, 2023 |
| Certification date | July 3, 2023 |
| Mailing address | 107 Front St, Suite 230, Vidalia, LA 39120 |
Other providers in Vidalia
-
Dr. John H Fairbanks, MD
107 Frnt ST Ste 2134, Vidalia, LA 71373-2836 · (318) 336-2212
-
Riverfront Urgent Care Center LLC
107 Frnt ST Ste 2138, Vidalia, LA 71373-2836 · (318) 336-2219