Individual
OLUWABUKOLA IBUKUNOLUWA TAIWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
1199 PRINCE AVE # 70, ATHENS, GA 30606-2797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
101660
GA
207R00000X
Internal Medicine Physician
85752
SC
Other
Enumeration date
04/30/2018
Last updated
03/27/2026
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