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ANGIER PEDIATRICS AND ADULT MEDICAL CENTER PLLC NPI 1104096015


NPI Information

NPI: 1104096015
Provider Name: ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 34D1088776

Address:
441 LAKESTONE COMMONS AVE
FUQUAY VARINA, NC
ZIP 27526
Phone: (919) 577-0481
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ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC is a family medicine in Fuquay Varina, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ANGIER PEDIATRICS AND ADULT MEDICAL CENTER, PLLC NPI is 1104096015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

441 LAKESTONE COMMONS AVE
FUQUAY VARINA, NC
ZIP 27526-972
Phone: (919) 577-0481
Fax: (919) 577-0512

The provider's authorized official is Kingsley Chuks Ugochukwu .
The authorized official title is Medical Director and has the following contact phone number (919) 234-3517.

The CLIA number assigned to this NPI record is 34D1088776 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 4/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189136U6MEDICAIDNORTH CAROLINA
2I15587MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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