Organization
ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUKWUMA UKATA D.P.M. (OWNER)
(919) 906-2057
Entity
Organization
Contact information
Practice address
516 VILLAGE CT, GARNER, NC 27529-3600
(919) 661-4150
(919) 779-8708
Mailing address
516 VILLAGE CT, GARNER, NC 27529-3600
(919) 661-4150
(919) 779-8708
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89046HI
—
NC
01
—
DO2944
RR MEDICARE
NC
Enumeration date
12/10/2007
Last updated
01/17/2011
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