Rutherford, Tamatha

Rutherford, Tamatha is an sole proprietor health care provider with primary practice located at 610 3Rd St Ste 200 , Macon GA 31201-3262. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Rutherford, Tamatha can be contacted via phone (478) 334-2328.

Contact Information

Primary practice address
610 3Rd St Ste 200 Macon GA 31201-3262
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP003659 Georgia

Profile Details

NPI number 1568514065
LBN Legal business name Rutherford, Tamatha
Credentials SPEECH-LANGUAGE PATH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568514065 NPPES
Georgia MEDICAID 543788055A

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