Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Fairbanks, DO

Individual provider Diagnostic Radiology Physician · NPI 1912407511

Samuel Fairbanks, DO is a Diagnostic Radiology Physician in Fort Benning, Georgia. Licensed in Virginia. Registered with an NPI since 2018.

Licensed in
VA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone: (762) 408-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0102205769 (VA)

Record details

NPI number1912407511
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 20, 2018
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address6600 Van Aalst Blvd, Fort Benning, GA 31905-2102

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