Organization
CAERUS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIGGOLETTE ANDONTE LEEPER JR. DPT (OWNER)
(404) 939-7440
Entity
Organization
Contact information
Practice address
3760 LAVISTA RD, SUITE 102, TUCKER, GA 30084-5615
(404) 248-0415
(404) 248-0422
Mailing address
3954 JERICHO RD, TUCKER, GA 30084-7411
(404) 939-7440
(404) 248-0422
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
8642
GA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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