Provider Demographics
NPI:1841647310
Name:CHITWOOD, ABIGAIL THUET (MD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:THUET
Last Name:CHITWOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 N BALLAS RD STE 366C
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2351
Mailing Address - Country:US
Mailing Address - Phone:314-312-1678
Mailing Address - Fax:
Practice Address - Street 1:3009 N BALLAS RD STE 366C
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2351
Practice Address - Country:US
Practice Address - Phone:314-312-1678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-15
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020023552207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology