# CHICKAHOMINY FAMILY PRACTICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Market Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669701249
- **Authorized official:** JOHN P KOWALSKI M.D. (VICE PRESIDENT)
- **Authorized official phone:** (804) 795-1144

## Contact information

- **Practice address:** 2660 NEW MARKET RD, RICHMOND, VA 23231-7408
- **Practice address phone:** (804) 795-1144
- **Practice address fax:** (804) 795-1052
- **Mailing address:** 1414 N 22ND ST, RICHMOND, VA 23223-5152
- **Mailing address phone:** (804) 683-6959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0024168551 | VA | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009