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Organization
ACTIVE LIFE HEALTH OF COLUMBIA, LLC
Active
Organization
ACTIVE LIFE HEALTH OF COLUMBIA, LLC
Active
Other names
Arthritis Knee Pain Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J RUSH MD (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
(803) 233-5500
Entity
Organization
Contact information
Practice address
2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
(803) 233-5500
Mailing address
2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
(803) 233-5500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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