Olubansile A Mimiko, M.D.

NPI #1336239177 in Eastman, Georgia

Provider Information

NPI Number
1336239177
Entity Type
Individual
Name
Olubansile A Mimiko, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Oct 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
521 GRIFFIN AVE
State
Georgia
ZIP Code
31023-6712
Phone
(478) 374-4128

Specialties & Taxonomy Codes

Specialty
Specialist

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