# ACTIVE LIFE HEALTH OF COLUMBIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arthritis Knee Pain Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104425529
- **Authorized official:** JOHN J RUSH MD (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (803) 233-5500

## Contact information

- **Practice address:** 2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
- **Practice address phone:** (803) 233-5500
- **Mailing address:** 2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
- **Mailing address phone:** (803) 233-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 10/19/2020