Active NPI 1396970323 Individual Practitioner Male Practitioner

Dr. Andre Becker Uflacker , MD

Radiology - Vascular & Interventional Radiology • Savannah, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andre Uflacker, MD is a certified Radiology - Vascular & Interventional Radiology practicing in Savannah, GA. With approximately 17 years of clinical experience since graduating from Medical University Of South Carolina College Of Medicine in 2009, Dr. Uflacker delivers high-quality medical care to the local community at 4750 WATERS AVE STE 500.

Dr. Uflacker is affiliated with Lowcountry Urology Clinics, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, established patient outpatient office visit, radiological supervision and interpretation of imaging of artery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4750 Waters Ave Ste 500

Savannah, GA 314046261

Telephone 9126297800

Fax 9123551414

Associated Practice Facility / Clinic

🏢 Savannah Vascular Institute, Llc Facility NPI 1184873390

Medicare Profile & Education

Medical School

Medical University Of South Carolina College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Vascular & Interventional Radiology in Savannah, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -7.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Savannah, GA (130 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

92.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Uflacker (17 Years) 17 Yrs

Savannah Specialty Average (24.5 Years) 24.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	89	85	$198.00	$11.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$259.00	$120.14
75774 Radiological supervision and interpretation of imaging of artery	32	14	$184.00	$44.17
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	22	$134.00	$17.01
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	21	16	$3674.48	$175.16
76937 Ultrasonic guidance for blood vessel access	21	20	$140.81	$13.44
75726 Review by radiologist of abdominal artery image	19	13	$433.00	$90.20
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	11	11	$1030.00	$99.70
32408 Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin	11	11	$3085.73	$137.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,100	21	$1.00	$0.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	206	185	$198.00	$11.90
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	62	62	$134.00	$17.69
76937 Ultrasonic guidance for blood vessel access	57	50	$146.00	$13.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	42	$248.71	$121.41
75774 Radiological supervision and interpretation of imaging of artery	54	20	$184.00	$45.15
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	48	47	$1030.00	$101.47
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	41	40	$293.00	$29.73
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	33	23	$4182.44	$203.01
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	32	32	$4559.00	$244.19
71275 Ct scan of blood vessels of chest with contrast	31	30	$556.00	$80.48
75726 Review by radiologist of abdominal artery image	22	19	$433.00	$91.31
50200 Needle biopsy of kidney	20	20	$1875.60	$121.10
37243 Occlusion of growths or obstructed vessels with review by radiologist	18	15	$5770.67	$533.99
77012 Review by radiologist of ct guidance for needle placement	18	18	$717.00	$68.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$476.76	$200.13
36248 Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond	17	11	$640.00	$44.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	14	$369.31	$171.73
49406 Drainage of fluid collection of abdominal cavity by tube using imaging guidance	15	13	$1588.53	$163.51
38505 Needle biopsy or removal of surface lymph nodes	13	12	$732.00	$75.73
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$384.85	$96.50
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$1331.00	$80.78
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$7407.00	$315.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$344.00	$158.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,500	24	$1.00	$0.11
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	326	280	$198.00	$12.12
76937 Ultrasonic guidance for blood vessel access	126	110	$146.00	$13.36
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	108	98	$134.00	$17.79
75774 Radiological supervision and interpretation of imaging of artery	85	27	$178.49	$46.45
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	52	28	$3587.62	$188.94
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	43	41	$1030.00	$104.45
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	41	41	$4659.08	$241.75
77012 Review by radiologist of ct guidance for needle placement	37	34	$717.00	$68.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	36	35	$293.00	$30.34
75726 Review by radiologist of abdominal artery image	34	16	$433.00	$94.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	31	$224.19	$69.67
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	31	31	$7478.68	$324.30
50435 Replacement of kidney drainage catheter accessed through the skin with imaging and radiological supervision and interpretation	28	19	$2407.64	$111.73
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$156.28	$62.02
36248 Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond	24	15	$640.00	$47.75
75736 Radiological supervision and interpretation of imaging of artery of pelvis	24	13	$469.00	$52.31
37243 Occlusion of growths or obstructed vessels with review by radiologist	22	16	$5705.09	$524.33
71275 Ct scan of blood vessels of chest with contrast	21	19	$556.00	$82.95
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$159.19	$88.14
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	18	$1331.00	$82.83
75635 CT scan of abdominal aorta and both leg arteries with contrast	19	19	$765.00	$113.93
50200 Needle biopsy of kidney	19	18	$1821.00	$114.26
36590 Removal of peripheral venous catheter for infusion	19	19	$1566.35	$157.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$223.82	$118.75
37244 Occlusion of artery or vein bleeding with review by radiologist	16	15	$6671.27	$629.78
20220 Biopsy of bone using needle or trocar	16	14	$417.00	$78.31
49406 Drainage of fluid collection of abdominal cavity by tube using imaging guidance	15	14	$1480.00	$185.11
47000 Needle biopsy of liver through skin	14	14	$785.48	$86.36
32408 Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin	12	12	$3331.00	$150.31
49180 Needle biopsy of abdominal cavity growth, accessed through the skin	12	12	$1119.00	$82.17
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	11	11	$1530.00	$82.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,453	23	$1.00	$0.11
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	386	324	$195.65	$12.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	118	107	$132.54	$18.33
76937 Ultrasonic guidance for blood vessel access	115	111	$144.50	$14.35
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	61	54	$4760.07	$254.34
77012 Review by radiologist of ct guidance for needle placement	61	58	$706.33	$73.32
75774 Radiological supervision and interpretation of imaging of artery	44	18	$172.00	$47.95
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	38	37	$1016.58	$108.63
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	37	37	$7391.16	$323.13
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	28	$290.52	$31.75
49406 Drainage of fluid collection of abdominal cavity by tube using imaging guidance	29	25	$1532.09	$188.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	26	$219.50	$70.80
50200 Needle biopsy of kidney	28	23	$1865.15	$121.96
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	24	18	$3577.19	$193.20
50435 Replacement of kidney drainage catheter accessed through the skin with imaging and radiological supervision and interpretation	22	17	$2232.03	$106.42
32405 Needle biopsy of lung or chest tissue, accessed through the skin	21	20	$751.47	$82.77
75726 Review by radiologist of abdominal artery image	20	15	$433.00	$97.46
36905 Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation, with balloon catheter	19	18	$9748.72	$450.67
71275 Ct scan of blood vessels of chest with contrast	18	17	$550.67	$83.26
50387 Removal and replacement of stent in kidney and urinary duct (ureter) using fluoroscopic guidance including radiological supervision and interpretation	17	11	$711.46	$87.32
50432 Placement of tube of kidney using imaging guidance with review by radiologist	16	16	$3798.93	$202.86
49180 Needle biopsy of abdominal cavity growth, accessed through the skin	16	15	$1225.09	$85.42
36590 Removal of peripheral venous catheter for infusion	15	15	$1554.84	$178.81
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$155.00	$47.97
75635 CT scan of abdominal aorta and both leg arteries with contrast	13	13	$756.54	$117.58
37243 Occlusion of growths or obstructed vessels with review by radiologist	13	12	$5922.42	$527.89
32557 Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin	13	12	$3088.52	$147.68
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$1316.00	$84.95
47000 Needle biopsy of liver through skin	12	12	$799.57	$85.72
37244 Occlusion of artery or vein bleeding with review by radiologist	12	12	$7034.97	$625.78
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	11	11	$1562.32	$85.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,500	14	$1.02	$0.11
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	362	314	$181.55	$12.10
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	131	126	$109.89	$18.23
76937 Ultrasonic guidance for blood vessel access	82	79	$107.43	$14.13
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	56	55	$3885.71	$250.21
77012 Review by radiologist of ct guidance for needle placement	43	43	$696.00	$72.52
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	42	42	$1100.48	$85.37
50435 Replacement of kidney drainage catheter accessed through the skin with imaging and radiological supervision and interpretation	29	21	$2162.79	$124.79
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	29	29	$7191.00	$320.86
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	27	27	$780.74	$105.15
71275 Ct scan of blood vessels of chest with contrast	26	26	$426.35	$86.27
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	26	26	$1098.77	$84.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	23	$276.33	$31.65
75726 Review by radiologist of abdominal artery image	19	12	$417.26	$53.88
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	18	14	$3765.33	$190.81
32405 Needle biopsy of lung or chest tissue, accessed through the skin	17	16	$711.00	$83.82
75984 Review by radiologist of image for replacement of stomach or large bowel tube	16	12	$293.06	$34.33
36012 Insertion of catheter into vein	15	15	$3520.53	$101.96
36581 Replacement of tunneled central venous tube	15	15	$2398.19	$182.09
36907 Balloon dilation of dialysis segment with review by radiologist	15	15	$2233.60	$145.45
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	14	13	$1980.14	$243.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$214.57	$70.60
36590 Removal of peripheral venous catheter for infusion	13	13	$1439.15	$181.27
50200 Needle biopsy of kidney	13	13	$1768.00	$126.37
49180 Needle biopsy of abdominal cavity growth, accessed through the skin	13	12	$1086.00	$77.81
37200 Biopsy of blood vessel via catheter	13	13	$1249.92	$214.73
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	13	13	$1972.08	$154.12
75970 Radiological supervision and interpretation of biopsy procedure	13	13	$237.46	$38.78
75889 Radiological supervision and interpretation of imaging of liver vein with assessment of blood flow	12	12	$363.00	$53.59
75635 CT scan of abdominal aorta and both leg arteries with contrast	12	12	$627.50	$117.42
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$174.55	$51.22
47000 Needle biopsy of liver through skin	11	11	$747.00	$87.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	220	198	$131.00	$12.43
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	171	157	$45.00	$18.62
76937 Ultrasonic guidance for blood vessel access	132	127	$37.00	$14.42
36569 Insertion of central venous catheter for infusion, patient 5 years or older	70	67	$751.00	$86.35
71275 Ct scan of blood vessels of chest with contrast	48	48	$343.00	$88.16
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	42	40	$2170.00	$260.82
99213 Established patient office or other outpatient visit, typically 15 minutes	41	29	$173.49	$50.96
36248 Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond	37	16	$431.00	$49.77
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	34	21	$4866.00	$176.55
50435 Replacement of kidney drainage catheter accessed through the skin with imaging and radiological supervision and interpretation	28	19	$1199.00	$111.36
47536 Replacement of liver duct drainage catheter accessed through the skin with imaging and radiological supervision and interpretation	28	17	$2070.00	$121.15
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	23	23	$260.00	$108.93
36581 Replacement of tunneled central venous tube	23	17	$1940.00	$177.65
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$3010.00	$342.30
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	20	19	$664.00	$98.81
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	19	18	$563.00	$244.50
37243 Occlusion of growths or obstructed vessels with review by radiologist	16	13	$2113.00	$575.12
75726 Review by radiologist of abdominal artery image	16	11	$134.00	$55.14
75635 CT scan of abdominal aorta and both leg arteries with contrast	11	11	$281.00	$118.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	213	180	$131.00	$12.07
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	131	123	$46.67	$18.39
76937 Ultrasonic guidance for blood vessel access	126	119	$37.00	$14.08
71275 Ct scan of blood vessels of chest with contrast	70	69	$343.00	$88.58
36569 Insertion of central venous catheter for infusion, patient 5 years or older	51	50	$751.00	$92.56
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$171.00	$48.92
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	42	28	$4866.00	$175.62
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	42	39	$2170.00	$241.98
36248 Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond	35	17	$431.00	$49.81
50435 Replacement of kidney drainage catheter accessed through the skin with imaging and radiological supervision and interpretation	35	22	$1199.00	$115.41
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	28	27	$260.00	$109.75
47536 Replacement of liver duct drainage catheter accessed through the skin with imaging and radiological supervision and interpretation	24	17	$2070.00	$127.01
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	23	21	$563.00	$212.93
37243 Occlusion of growths or obstructed vessels with review by radiologist	22	18	$2113.00	$578.16
75726 Review by radiologist of abdominal artery image	18	11	$134.00	$53.39
36907 Balloon dilation of dialysis segment with review by radiologist	18	15	$324.00	$125.16
36005 Injection for X-ray imaging procedure on veins of arm or leg	17	17	$780.00	$36.43
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	17	17	$664.00	$121.51
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	14	11	$678.29	$135.54
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$3010.00	$341.85
36581 Replacement of tunneled central venous tube	13	12	$1940.00	$174.83
37244 Occlusion of artery or vein bleeding with review by radiologist	13	13	$2465.00	$680.58
75822 Review by radiologist of both arms and legs veins of both arms or legs image	13	13	$132.00	$52.01

Medical Specialties & State Licenses

CMS Verified: 2024-12-04

Radiology - Vascular & Interventional Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0204X

State License GA 95854

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Radiology - Vascular & Interventional Radiology

NUCC Taxonomy Code: 2085R0204X

State License VA 0101252849

Radiology - Vascular & Interventional Radiology

NUCC Taxonomy Code: 2085R0204X

State License SC 81911

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Lowcountry Urology Clinics, Pa

1844 Wallace School Rd, Charleston, SC 294074822

Phone: 8437254415

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Deanna Wildes , RN, BSN

Nurse Practitioner

NPI 1003199480

Registered Nurse, Bachelor of Science in Nursing

Dr. Edward Cohn , MD

Surgery - Vascular Surgery

NPI 1043247232

Doctor of Medicine (M.D.)

Dr. Kirstin Nelson , MD

Radiology - Diagnostic Radiology

NPI 1104858307

Doctor of Medicine (M.D.)

Dr. Michael Dahn , MD

Surgery - Vascular Surgery

NPI 1114924677

Doctor of Medicine (M.D.)

Dr. William Darden , MD

Surgery

NPI 1144259755

Doctor of Medicine (M.D.)

Dr. Larry Horesh , MD

Radiology - Vascular & Interventional Radiology

NPI 1154398709

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location December 04, 2024

Registered at 4750 WATERS AVE STE 500, SAVANNAH, GA 314046261 (Tel: 9126297800)

📍

Updated Practice Location April 17, 2019

Registered at 171 ASHLEY AVE, CHARLESTON, SC 294250001 (Tel: 8437921414)

📍

Updated Business Mailing Address April 17, 2019

Registered at PO BOX 751461, CHARLOTTE, NC 282751461 (Tel: 8437926200)

✅

NPI Profile Active October 09, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2015

Registered at LEE ST, 1ST FLOOR, CHARLOTTESVILLE, VA 229080001 (Tel: 4349249401)

📍

Updated Business Mailing Address October 09, 2015

Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007

👤

Provider Name / Credentials Updated October 09, 2015

Recorded as ANDRE UFLACKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2015

Radiology (License #0101252849 in VA)

🟢

Initial NPI Registration & Enumeration May 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396970323

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 19, 2009

Last Update: December 04, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 751461

Charlotte, NC 282751461

Phone: 8437926200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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