Rush, Christa Lee

Rush, Christa Lee is an individual health care provider with primary practice located at 200 W Academy Street , Gainesville GA 30501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rush, Christa Lee can be contacted via phone (770) 282-8820.

Contact Information

Primary practice address
200 W Academy Street Gainesville GA 30501
Phone: (770) 282-8820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4437 Georgia

Profile Details

NPI number 1760539175
LBN Legal business name Rush, Christa Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jan 13th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760539175 NPPES
Georgia MEDICAID 727928896O

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