Active Life Health of Alpharetta LLC
NPI #1265101596 in Alpharetta, Georgia
Provider Information
- NPI Number
- 1265101596
- Entity Type
- Organization
- Organization Name
- Active Life Health of Alpharetta LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 9, 2021
- Last Updated
- Feb 4, 2022
Practice Location
- Address
- 4165 OLD MILTON PKWY STE 200
- City
- Alpharetta
- State
- Georgia
- ZIP Code
- 30005-4478
- Phone
- (770) 755-1771
Authorized Official
- Name
- JOHN J RUSH, MD
- Title
- CHAIRMAN & CHIEF EXECUTIVE OFFICER
- Phone
- (770) 755-1771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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