Individual
TAMATHA RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
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
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003659
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543788055A
—
GA
Enumeration date
01/17/2007
Last updated
07/21/2021
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