Organization
CHESAPEAKE MEDICAL GROUP, INC
Active
Other names
Kilmarnock Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN QUIRICONI (CFO)
(804) 281-8301
Entity
Organization
Contact information
Practice address
434 N MAIN STREET, KILMARNOCK, VA 22482
(804) 435-2651
(804) 435-2302
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 627-5462
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
04/01/2019
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