Organization
ACTIVE LIFE HEALTH OF PINEVILLE PLLC
Active
Other names
ARTHRITIS KNEE PAIN CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J RUSH MD (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
(704) 272-3828
Entity
Organization
Contact information
Practice address
10035 PARK CEDAR DR STE 300, CHARLOTTE, NC 28210-8910
(704) 272-3828
(704) 886-1884
Mailing address
10035 PARK CEDAR DR STE 300, CHARLOTTE, NC 28210-8910
(704) 272-3828
(704) 886-1884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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