Willibroad Lofon Maimo, MD is a student in an organized health care education training program in Atlanta, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Willibroad Lofon Maimo, MD NPI is 1174044457. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
101 WOODRUFF CIRCLE WMB 319
ATLANTA, GA
ZIP 30332-147
Phone: (404) 712-1504
The NPI 1174044457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/27/2017 and was last updated on 6/17/2021.