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Individual

CHRISTA LEE RUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 W ACADEMY STREET, GAINESVILLE, GA 30501
(770) 282-8820
Mailing address
103 CHURCH ST, HIAWASSEE, GA 30546-3223
(706) 896-4673
(706) 896-3992

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4437
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
727928896O
GA
Enumeration date
01/05/2007
Last updated
01/13/2021
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