Individual
ROBERT RANDALL RUSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096
(803) 799-5022
(803) 799-5890
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(803) 540-1011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34083
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
22267
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34083
SC
207RP1001X
Pulmonary Disease Physician
Primary
066315
GA
207RP1001X
Pulmonary Disease Physician
22267
MD
207RP1001X
Pulmonary Disease Physician
34083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340839
—
SC
01
—
AA76842603
MEDICARE PTAN
SC
Enumeration date
06/13/2007
Last updated
04/13/2022
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