# ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104096015
- **Authorized official:** DR. KINGSLEY CHUKS UGOCHUKWU M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (919) 234-3517

## Contact information

- **Practice address:** 441 LAKESTONE COMMONS AVE, FUQUAY VARINA, NC 27526-6972
- **Practice address phone:** (919) 577-0481
- **Practice address fax:** (919) 577-0512
- **Mailing address:** 412 HOWARD GROVE PKWY, CARY, NC 27519-0802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 04/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89136U6 | — | NC |