Individual
PATRICK KYLE RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 E 6TH AVE, ROME, GA 30161
(706) 291-8062
Mailing address
306 E. 6TH AVE, ROME, GA 30161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012760
GA
Other
Enumeration date
02/04/2015
Last updated
02/05/2015
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