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Organization
ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC
Active
Organization
ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGSLEY CHUKS UGOCHUKWU M.D (MEDICAL DIRECTOR)
(919) 234-3517
Entity
Organization
Contact information
Practice address
441 LAKESTONE COMMONS AVE, FUQUAY VARINA, NC 27526-6972
(919) 577-0481
(919) 577-0512
Mailing address
412 HOWARD GROVE PKWY, CARY, NC 27519-0802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136U6
—
NC
Enumeration date
03/06/2008
Last updated
04/03/2014
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