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Organization
ACTIVE LIFE HEALTH OF CHARLOTTE PLLC
Active
Organization
ACTIVE LIFE HEALTH OF CHARLOTTE PLLC
Active
Other names
ARTHRITIS KNEE PAIN CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J RUSH MD (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
(704) 272-3884
Entity
Organization
Contact information
Practice address
8401 MEDICAL PLAZA DR STE 355, CHARLOTTE, NC 28262-9718
(704) 272-3884
(704) 235-1629
Mailing address
8401 MEDICAL PLAZA DR STE 355, CHARLOTTE, NC 28262-9718
(704) 272-3884
(704) 235-1629
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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