Provider Demographics
NPI:1285805986
Name:AMINU, FOLAKE T (MD)
Entity type:Individual
Prefix:
First Name:FOLAKE
Middle Name:T
Last Name:AMINU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:584 LANIER PARK DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2000
Mailing Address - Country:US
Mailing Address - Phone:770-532-5685
Mailing Address - Fax:770-532-8515
Practice Address - Street 1:584 LANIER PARK DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2000
Practice Address - Country:US
Practice Address - Phone:770-532-5685
Practice Address - Fax:770-532-8515
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2012-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA062871207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA106653630AMedicaid
202I080511Medicare Oscar/Certification