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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
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
03/05/2021
Last updated
03/05/2021
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