# CHESAPEAKE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720259187
- **Authorized official:** MR. JAMES M HOLMES JR. (CEO/PRESIDENT)
- **Authorized official phone:** (804) 435-8535

## Contact information

- **Practice address:** 36 LIVELY OAKS ROAD, LIVELY, VA 22507
- **Practice address phone:** (804) 462-5155
- **Practice address fax:** (804) 462-5922
- **Mailing address:** PO BOX 2255, KILMARNOCK, VA 22482-2255
- **Mailing address phone:** (804) 435-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 08/19/2014