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Chesapeake Medical Group, INC

Family Medicine in Kilmarnock, VA. Organization (NPI-2).

NPI number1821023151
StatusActive
Last updated in NPPESApr 1, 2019

Details

NPI
1821023151
Entity type
Organization (NPI-2)
Legal business name
Chesapeake Medical Group, INC
Organization subpart
No
Enumeration date
Jul 12, 2006
Last updated
Apr 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Kilmarnock Primary Care (Doing Business As)

Practice location

434 N Main Street
Kilmarnock, VA 22482

Phone 804-435-2651 · Fax 804-435-2302

Mailing address

8580 Magellan Pkwy
Richmond, VA 23227-1149

Phone 804-627-5462 · Fax 866-449-0896

Authorized official

Stephan Quiriconi
Cfo
8042818301

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