ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC; NPI #1619150992

Contact Information

ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC

516 VILLAGE CT
GARNER, NC 27529-3600

Phone: 919-661-4150
Fax: 919-779-8708
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC

NPI Number 1619150992

LBN Legal business name ADVANCED CAROLINA FOOT AND ANKLE CENTER, PLLC

Authorized official CHUKWUMA UKATA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/10/2007

Last updated 01/17/2011 - About 15 years ago

Identifiers

NC	License #	487
NC	Medicaid	89046HI
NC	Other	DO2944	RR MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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