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434 N Main Street Kilmarnock VA 22482 | |
(804) 435-2651 | |
(804) 435-2302 |
Full Name | |
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Speciality | Family Medicine |
Location | 434 N Main Street, Kilmarnock, Virginia |
Authorized Official Name and Position | Stephan Quiriconi (CFO) |
Authorized Official Contact | 8042818301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8580 Magellan Pkwy Richmond VA 23227-1149 Ph: (804) 627-5462 | 434 N Main Street Kilmarnock VA 22482 Ph: (804) 435-2651 |
NPI Number | 1821023151 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 04/01/2019 |
Identifier | Type | State | Issuer |
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1821023151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chesapeake Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Drive, Kilmarnock, VA 22482 Phone: 804-435-8000 Fax: 804-435-8037 | |
Suzanne Souders Lcsw Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Office Park Dr Ste 2, Kilmarnock, VA 22482 Phone: 804-577-0186 | |
Chesapeake Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Harris Road, Kilmarnock, VA 22482 Phone: 804-435-2651 Fax: 804-435-2302 |