Healthcare Provider Details

I. General information

NPI: 1427976455
Provider Name (Legal Business Name): GEORGE RUSH MLS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11935 ABERCORN ST
SAVANNAH GA
31419-1909
US

IV. Provider business mailing address

11935 ABERCORN ST
SAVANNAH GA
31419-1909
US

V. Phone/Fax

Practice location:
  • Phone: 301-257-7443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RM2200X
TaxonomyMedical Laboratory Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: