Provider Demographics
NPI:1295906006
Name:THAGARD, ANDREW SLOANE (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SLOANE
Last Name:THAGARD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:620 JOHN PAUL JONES CIRCLE
Mailing Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708
Mailing Address - Country:US
Mailing Address - Phone:757-953-4296
Mailing Address - Fax:757-953-4367
Practice Address - Street 1:620 JOHN PAUL JONES CIRCLE
Practice Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708
Practice Address - Country:US
Practice Address - Phone:757-953-4296
Practice Address - Fax:757-953-4367
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2022-10-06
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Provider Licenses
StateLicense IDTaxonomies
VA0101246031207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology