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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
3758 HIGHWAY 42 S, LOCUST GROVE, GA 30248-3653
(678) 561-9430
(770) 914-1070
Mailing address
PO BOX 746765, ATLANTA, GA 30374-6765
(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
06/12/2006
Last updated
01/14/2026
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