Whalio Doctors

NPI 1639437726

Caerus Group LLC

Organisation Rehabilitation Hospital Unit Tucker, GA

Practice location

Address
3760 Lavista Rd Suite 102, Tucker, GA 30084-5615
Phone
(404) 248-0415
Fax
(404) 248-0422
Mailing address
3954 Jericho Rd, Tucker, GA 30084-7411

Authorised official

Name
Riggolette Andonte Leeper
Title
Owner
Phone
(404) 939-7440

Registered specialties

Rehabilitation Hospital Unit Primary
Hospital Units Taxonomy 273Y00000X Licence 8642 (GA)

Registry record

NPI
1639437726
Entity type
Organization
NPI issued
26 Apr 2012
Record last updated
26 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.