Organization
AEGIS HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH DAVID HANSON (CEO)
(404) 805-8093
Entity
Organization
Contact information
Practice address
4800 FOURNACE PL STE BE13, BELLAIRE, TX 77401-2324
(410) 834-8110
Mailing address
2060 ENTERPRISE RD, MADISON, GA 30650-5621
(410) 834-8110
(512) 488-9370
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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