Individual
TALIA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5021 MERCER UNIVERSITY DR, D3, MACON, GA 31210-5691
(478) 956-4916
(478) 956-0958
Mailing address
PO BOX 1552, BYRON, GA 31008-1552
(478) 956-4916
(478) 956-0958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007658
GA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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