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
1058 BEAR CREEK BLVD, HAMPTON, GA 30228-1849
(770) 707-0808
(770) 707-1580
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
(770) 955-4278
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
06/09/2006
Last updated
09/02/2025
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