Individual
JORDAN S RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10515 BELLS FERRY RD, SUITE 200, CANTON, GA 30114-4204
(770) 720-8551
(770) 345-2738
Mailing address
3611 SHAMANS WALK, MARIETTA, GA 30062-1063
(404) 434-7785
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
60319
GA
207V00000X
Obstetrics & Gynecology Physician
MD049482L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015986700005
—
PA
05
—
724164645A
—
GA
Enumeration date
09/07/2005
Last updated
01/30/2024
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