Provider Demographics
NPI:1043442957
Name:POLSON, ANGELLA B (MF)
Entity Type:Individual
Prefix:
First Name:ANGELLA
Middle Name:B
Last Name:POLSON
Suffix:
Gender:F
Credentials:MF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:SKYLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28776-0428
Mailing Address - Country:US
Mailing Address - Phone:828-684-1644
Mailing Address - Fax:828-684-0648
Practice Address - Street 1:3845 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8241
Practice Address - Country:US
Practice Address - Phone:828-684-1644
Practice Address - Fax:828-684-0648
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter