Individual
ELIZABETH MAIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2154 JOHNSON FERRY RD NE, BROOKHAVEN, GA 30319-2558
(678) 732-1500
Mailing address
736 W BANKHEAD HWY, VILLA RICA, GA 30180-1501
(770) 459-8234
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN239786
GA
363LP2300X
Primary Care Nurse Practitioner
RN239786
GA
Other
Enumeration date
08/27/2018
Last updated
03/24/2026
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