Provider Demographics
NPI:1366067274
Name:POGGI, CHRISTOPHER GLENN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:GLENN
Last Name:POGGI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMERGENCY MEDICINE
Mailing Address - Street 2:14 MEDICAL PARK, STE 350
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-3790
Mailing Address - Fax:803-434-6299
Practice Address - Street 1:EMERGENCY MEDICINE
Practice Address - Street 2:14 MEDICAL PARK, STE 350
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-3790
Practice Address - Fax:803-434-6299
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL84427207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine