MEDICARE: ABBY WILKINS POLSTON SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	30001424	NC

General Provider Information

NPI Number	:	1326739160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY WILKINS POLSTON SLP

Provider Business Mailing Address
First Line	:	2836 BENNETT SILER CITY RD
Second Line	:
City	:	SILER CITY
State	:	NC
Zip	:	27344-6372
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	468 RENAISSANCE DR
Second Line	:
City	:	PITTSBORO
State	:	NC
Zip	:	27312-0980
Country	:	US
Telephone Number	:	919-542-3626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/27/2026

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Directions to “ ABBY WILKINS POLSTON SLP” Practice Location

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