Organization
ACTIVE LIFE HEALTH OF LILBURN LLC
Active
Other names
ARTHRITIS KNEE PAIN CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J RUSH MD (CHAIRMAN & CHIEF EXECUTIVE OFFICER)
(770) 755-1515
Entity
Organization
Contact information
Practice address
629 BEAVER RUIN RD NW STE B, LILBURN, GA 30047-3437
(770) 755-1515
(770) 370-8173
Mailing address
629 BEAVER RUIN RD NW STE B, LILBURN, GA 30047-3437
(770) 755-1515
(770) 370-8173
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
11/09/2021
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