| Aylo Health, Llc | |
|
1502 Highway 16 E Jackson GA 30233-5202 | |
| (678) 774-0430 | |
| (770) 775-3410 |
| Full Name | Aylo Health, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1502 Highway 16 E, Jackson, Georgia |
| Authorized Official Name and Position | Nicholas Williams (CEO) |
| Authorized Official Contact | 7709140116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aylo Health, Llc 1502 Highway 16 E Jackson GA 30233-5202 Ph: (678) 774-0430 | Aylo Health, Llc 1502 Highway 16 E Jackson GA 30233-5202 Ph: (678) 774-0430 |
| NPI Number | 1205919263 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205919263 | NPI | - | NPPES |
| CC6012 | Other | GA | RAILROAD MEDICARE |
| 061407 | Other | GA | BC/BS OF GA GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Carol M. Odegaard, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 Brookwood Ave, Jackson, GA 30233 Phone: 678-752-0555 Fax: 678-752-0556 | |
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