Organization
ACTIVE LIFE HEALTH OF CHARLOTTE 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)
(614) 504-0741
Entity
Organization
Contact information
Practice address
8401 MEDICAL PLAZA DR STE 355, CHARLOTTE, NC 28262-9718
(704) 272-3884
(704) 235-1629
Mailing address
8401 MEDICAL PLAZA DR STE 355, CHARLOTTE, NC 28262-9718
(704) 272-3884
(704) 235-1629
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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