Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLUBANSILE A MIMIKO, M.D.
Active Sole ProprietorOLUBANSILE A MIMIKO, M.D. is a Specialist healthcare provider located in EASTMAN, Georgia. NPI 1336239177 is currently active in the NPPES registry. Verify at CMS.
Specialist · EASTMAN, GA
Registration Details
- NPI Number
- 1336239177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2006 (19.656437534064 yrs)
- Last Updated
- Jul 8, 2007
- License
-
050663 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
521 GRIFFIN AVEEASTMAN, GA, 310236712Browse GA providers · Browse ZIP 31023
- Phone
- 4783744128
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in EASTMAN, GA
| Name | Credential | NPI |
|---|---|---|
| KUO L LEE | MD | 1659370682 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.