Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Olubansile A Mimiko, MD

Individual provider Specialist · NPI 1336239177

Olubansile A Mimiko, MD is a Specialist in Eastman, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

521 Griffin Ave
Eastman, GA 31023-6712
Phone: (478) 374-4128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 050663 (GA)

Record details

NPI number1336239177
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 8, 2007

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