Individual
ALEC JAY RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 265-1579
Mailing address
4110 VILLAGE GREEN DR, ROSWELL, GA 30075-7633
(678) 575-0796
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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