Doctor Name: | JORDAN S RUSH |
NPI Number: | 1811981756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD049482L |
Business Practice Address: | 10515 Bells Ferry Rd Suite 200 Canton, GA - 301144204 |
Business Phone Number: | 7707208551 |
Business Fax Number: | 7703452738 |
Mailing Address: | 3611 Shamans Walk, MARIETTA |
State: | GA |
Postal Code: | 300621063 |
Phone Number: | 4044347785 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2005 |
NPI Last Update Date: | 06/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD049482L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |