Provider Demographics
NPI:1932994779
Name:HARGROVE, SKYLAR LEE (MD)
Entity type:Individual
Prefix:DR
First Name:SKYLAR
Middle Name:LEE
Last Name:HARGROVE
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 1:417 NORTH 11TH STREET
Mailing Address - Street 2:RICHMOND
Mailing Address - City:VIRGINIA
Mailing Address - State:VA
Mailing Address - Zip Code:23298
Mailing Address - Country:US
Mailing Address - Phone:804-828-8786
Mailing Address - Fax:804-828-5466
Practice Address - Street 1:417 NORTH 11TH STREET
Practice Address - Street 2:RICHMOND
Practice Address - City:VIRGINIA
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-828-8786
Practice Address - Fax:804-828-5466
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program