Individual
DR. AFOLARIN BANJOKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 N MAIN ST STE A, HINESVILLE, GA 31313-2570
(912) 368-3868
(844) 848-5854
Mailing address
508 N MAIN ST STE A, HINESVILLE, GA 31313-2570
(912) 368-3868
(844) 848-5854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49267
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003101082A
—
GA
01
—
202I265776
MEDICARE PTAN
GA
01
—
C10007335
LIC #
DE
Enumeration date
12/13/2006
Last updated
05/19/2021
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