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Olubansile A Mimiko, MD
Specialist in Eastman, Georgia
NPI 1336239177

Olubansile A Mimiko is a Specialist based in Eastman, GA. Olubansile A Mimiko practices in Eastman, GA and has the professional credentials of MD. The NPI Number for Olubansile A Mimiko is 1336239177 and holds a License No. 050663 (Georgia).

The current practice location address for Olubansile A Mimiko is 521 Griffin Ave, Eastman, GA and can be reached out via phone at 478-374-4128.

Location: 521 Griffin Ave, Eastman, GA, 31023-4128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336239177
Provider Name
Olubansile A Mimiko
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
521 Griffin Ave, Eastman, GA, 31023-4128
Phone Number
478-374-4128
Fax Number
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
521 Griffin Ave
City
Eastman
State
Georgia
Zip
31023-6712
Phone Number
478-374-4128
Fax Number
person
Provider Business Mailing Address Details
Address
521 Griffin Ave
City
Eastman
State
Georgia
Zip
31023-6712
Phone Number
478-374-4128
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
050663 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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