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
—
—
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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