Individual
ANDRE BECKER UFLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4750 WATERS AVE STE 500, SAVANNAH, GA 31404-6261
(912) 629-7800
(912) 355-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
0101252849
VA
2085R0204X
Vascular & Interventional Radiology Physician
81911
SC
2085R0204X
Vascular & Interventional Radiology Physician
Primary
95854
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2009
Last updated
12/04/2024
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