Organization
SWALLOWING SPECIALISTS OF CENTRAL GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMATHA RUTHERFORD MCD,CCC/SLP/MDTP/MBS (OWNER)
(478) 334-2328
Entity
Organization
Contact information
Practice address
610 3RD ST STE 200, MACON, GA 31201-3262
(478) 334-2328
Mailing address
610 3RD ST STE 200, MACON, GA 31201-3262
(478) 334-2328
(478) 216-9186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
07/05/2022
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