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1760539175 NPI number — CHRISTA LEE RUSH PA-C

NPI Number: 1760539175
Health Care Provider/Practitioner: CHRISTA LEE RUSH PA-C

Information about “1760539175” NPI (CHRISTA LEE RUSH PA-C) exists in 1760539175 in HTML format HTML  |  1760539175 in plain Text format TXT  |  1760539175 in PDF (Portable Document Format) PDF  |  1760539175 in an XML format XML  formats.

NPI Number : 1760539175 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760539175",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUSH",
    "FirstName": "CHRISTA",
    "MiddleName": "LEE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PARTON",
    "OtherFirstName": "CHRISTA",
    "OtherMiddleName": "LEE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "103 CHURCH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIAWASSEE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30546-3223",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-896-4673",
    "MailingAddressFaxNumber": "706-896-3992",
    "FirstLinePracticeLocationAddress": "200 W ACADEMY STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30501",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-282-8820",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/05/2007",
    "LastUpdateDate": "01/13/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363A00000X",
        "TaxonomyName": "Physician Assistant",
        "LicenseNumber": "4437",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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