# AEGIS HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184257123
- **Authorized official:** NOAH HANSON (CEO)
- **Authorized official phone:** (404) 805-8093

## Contact information

- **Practice address:** 2220 SUPERIOR VIA, CLEVELAND, OH 44113-2367
- **Practice address phone:** (888) 276-0207
- **Practice address fax:** (512) 488-9370
- **Mailing address:** 2060 ENTERPRISE RD, MADISON, GA 30650-5621
- **Mailing address phone:** (410) 834-8110
- **Mailing address fax:** (512) 488-9370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2020
- **Last updated:** 05/25/2023