Organization
ACTIVE LIFE HEALTH OF COLUMBIA, 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)
(803) 233-5500
Entity
Organization
Contact information
Practice address
2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
(803) 233-5500
Mailing address
2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
(803) 233-5500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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