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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