Provider Demographics
NPI:1750956017
Name:POGREBNIAK, ELIZABETH ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ALEXANDRA
Last Name:POGREBNIAK
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PRISMA HEALTH INTERNAL MEDICINE CENTER
Mailing Address - Street 2:1801 SUNSET DRIVE
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-4153
Mailing Address - Fax:803-434-4160
Practice Address - Street 1:4 MEDICAL PARK RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6807
Practice Address - Country:US
Practice Address - Phone:803-434-2020
Practice Address - Fax:803-434-4160
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCLL85704207R00000X
GA103977207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine