| Chester Medical Group, Llc | |
|
12900 Jefferson Davis Hwy Chester VA 23831-5311 | |
| (804) 414-0300 | |
| (804) 414-0319 |
| Full Name | Chester Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12900 Jefferson Davis Hwy, Chester, Virginia |
| Authorized Official Name and Position | Carol Smith (VICE PRESIDENT) |
| Authorized Official Contact | 8042377760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Medical Group, Llc 12900 Jefferson Davis Hwy Chester VA 23831-5311 Ph: (804) 414-0300 | Chester Medical Group, Llc 12900 Jefferson Davis Hwy Chester VA 23831-5311 Ph: (804) 414-0300 |
| NPI Number | 1659330843 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659330843 | NPI | - | NPPES |
| DF58380 | Other | VA | RR MEDICARE |
| 1659330843 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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