# ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC

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

## Provider details

- **NPI number:** 1619150992
- **Authorized official:** DR. CHUKWUMA UKATA D.P.M. (OWNER)
- **Authorized official phone:** (919) 906-2057

## Contact information

- **Practice address:** 516 VILLAGE CT, GARNER, NC 27529-3600
- **Practice address phone:** (919) 661-4150
- **Practice address fax:** (919) 779-8708
- **Mailing address:** 516 VILLAGE CT, GARNER, NC 27529-3600
- **Mailing address phone:** (919) 661-4150
- **Mailing address fax:** (919) 779-8708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 487 | NC | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 01/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89046HI | — | NC |
| 01 | — | DO2944 | RR MEDICARE | NC |