Individual
CHRISTOPHER S. VAGNONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 314-8549
(864) 512-2020
Mailing address
800 N FANT STREET, ANDERSON, SC 29621
(864) 314-8549
(864) 512-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35521
SC
207R00000X
Internal Medicine Physician
D0059987
MD
208000000X
Pediatrics Physician
D0059987
MD
208M00000X
Hospitalist Physician
Primary
35521
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812767000
—
WV
05
—
404927600 01
—
MD
01
—
641385 02
CAREFIRST BC BS
MD
01
—
641385 01
CAREFIRST BC BS
MD
01
—
J697 002
BLUE CHOICE
DC
01
—
P00135051
TRAVELERS MEDICARE
MD
Enumeration date
12/21/2005
Last updated
05/20/2019
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