# FAIR MEDICAL CLINIC APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508182197
- **Authorized official:** JACK DAVID FAIR M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (318) 352-6800

## Contact information

- **Practice address:** 615 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
- **Practice address phone:** (318) 352-6800
- **Practice address fax:** (318) 352-6803
- **Mailing address:** 615 BIENVILLE ST, NATCHITOCHES, LA 71457-5730
- **Mailing address phone:** (318) 352-6800
- **Mailing address fax:** (318) 352-6800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD.202650 | LA | Yes |

## Other

- **Enumeration date:** 04/08/2010
- **Last updated:** 04/08/2010