Organization
CHICKAHOMINY FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K MICHELLE CHRISTIAN (OFFICE MANAGER)
(804) 932-4388
Entity
Organization
Contact information
Practice address
2500 NEW KENT HWY, QUINTON, VA 23141-1735
(804) 932-4388
(804) 932-9860
Mailing address
PO BOX 7, QUINTON, VA 23141-0007
(804) 932-4388
(804) 932-9860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057298
BCBS
VA
01
—
065167
BCBS
VA
05
—
5622557
—
VA
Enumeration date
07/07/2005
Last updated
07/21/2022
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