Organization
AYLO HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WILLIAMS (CEO)
(770) 914-0116
Entity
Organization
Contact information
Practice address
211 FAIRVIEW RD, ELLENWOOD, GA 30294-2721
(678) 289-6747
(678) 289-6750
Mailing address
211 FAIRVIEW RD, ELLENWOOD, GA 30294-2721
(770) 507-4554
(770) 507-6413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061407
BC/BS OF GA GROUP
GA
01
—
CC6012
RAILROAD MEDICARE
GA
Enumeration date
06/08/2006
Last updated
07/28/2025
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