MEDICARE: CHRISTOPHER L PO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	18741	SC
2	207RN0300X	Nephrology Physician	18741	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679665608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER L PO MD

Provider Business Mailing Address
First Line	:	PO BOX 3239
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-3239
Country	:	US
Telephone Number	:	843-756-7885
Fax Number	:	843-756-7855

Provider Business Practice Location Address
First Line	:	3617 CASEY ST
Second Line	:	SUITE C
City	:	LORIS
State	:	SC
Zip	:	29569-2981
Country	:	US
Telephone Number	:	843-716-7163
Fax Number	:	843-716-7918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	02/15/2021

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Directions to “ CHRISTOPHER L PO MD” Practice Location

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