| Aylo Health, Llc | |
|
3758 Highway 42 Locust Grove GA 30248-3653 | |
| (678) 561-9430 | |
| (770) 914-1070 |
| Full Name | Aylo Health, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3758 Highway 42, Locust Grove, 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 3758 Highway 42 Locust Grove GA 30248-3653 Ph: (770) 957-3700 | Aylo Health, Llc 3758 Highway 42 Locust Grove GA 30248-3653 Ph: (678) 561-9430 |
| NPI Number | 1710929914 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710929914 | 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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