MEDICARE: AUGUSTA ASHWORTH

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	13595	NC

General Provider Information

NPI Number	:	1881540482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUGUSTA ASHWORTH

Provider Business Mailing Address
First Line	:	2529 HARNETT CENTRAL RD
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-7039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2529 HARNETT CENTRAL RD
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-7039
Country	:	US
Telephone Number	:	919-639-6000
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ AUGUSTA ASHWORTH ” Practice Location

Language	Start Address	Practice Location

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