Organization
CHESAPEAKE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M HOLMES JR. (CEO/PRESIDENT)
(804) 435-8535
Entity
Organization
Contact information
Practice address
36 LIVELY OAKS ROAD, LIVELY, VA 22507
(804) 462-5155
(804) 462-5922
Mailing address
PO BOX 2255, KILMARNOCK, VA 22482-2255
(804) 435-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
08/19/2014
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