Individual provider · Type 1 NPI
Olubansile A. Mimiko, MD
Specialist · Eastman, GA
NPI number
1336239177
Active
Practice location
521 Griffin Ave
Eastman, GA 31023-6712
Mailing address
P O Box 4128
Eastman, GA 31023-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 050663 (GA) |
Specialist: 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.
Other specialist providers in Eastman
About NPI 1336239177
Olubansile A. Mimiko, MD's National Provider Identifier is 1336239177, issued on Oct 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Eastman, GA. The record was last updated on Jul 8, 2007.