| Chesapeake Medical Group, Inc. | |
|
36 Lively Oaks Road Lively VA 22507 | |
| (804) 462-5155 | |
| (804) 462-5922 |
| Full Name | Chesapeake Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 36 Lively Oaks Road, Lively, Virginia |
| Authorized Official Name and Position | James M Holmes (CEO/PRESIDENT) |
| Authorized Official Contact | 8044358535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Medical Group, Inc. Po Box 2255 Kilmarnock VA 22482-2255 Ph: (804) 435-8000 | Chesapeake Medical Group, Inc. 36 Lively Oaks Road Lively VA 22507 Ph: (804) 462-5155 |
| NPI Number | 1720259187 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 08/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720259187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Bon Secours Lively Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Lively Oaks Rd, Lively, VA 22507 Phone: 804-462-5155 Fax: 804-462-5922 | |
Bon Secours Lively Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 36 Lively Oaks Rd, Lively, VA 22507 Phone: 804-462-5155 Fax: 804-462-5922 |