Organization
ACTIVE LIFE HEALTH OF MARIETTA LLC
Active
Organization
ACTIVE LIFE HEALTH OF MARIETTA 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)
(770) 728-8446
Entity
Organization
Contact information
Practice address
540 POWDER SPRINGS ST STE 29, MARIETTA, GA 30064-3549
(770) 728-8446
(770) 370-8172
Mailing address
540 POWDER SPRINGS ST STE 29, MARIETTA, GA 30064-3549
(770) 728-8446
(770) 370-8172
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
12/13/2021
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