Individual
DR. CHARLES DANIEL RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
#46 TYSON RD, ASHLAND, AL 36251
(256) 354-2118
(256) 354-2130
Mailing address
PO BOX 248, #46 TYSON RD, ASHLAND, AL 36251
(256) 354-2118
(256) 354-2130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3891
AL
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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