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Organization
VIRGINIA CENTER FOR ADDICTION MEDICINE
Active
Organization
VIRGINIA CENTER FOR ADDICTION MEDICINE
Active
Other names
Master Center for Addiction Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD THOMPSON M.D. (CMO)
(804) 332-5950
Entity
Organization
Contact information
Practice address
4212 PARK PLACE CT, GLEN ALLEN, VA 23060-3314
(804) 332-5950
(804) 728-1086
Mailing address
4212 PARK PLACE CT, GLEN ALLEN, VA 23060-3314
(804) 332-5950
(804) 728-1086
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
0101246355
VA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0101015030
VA
Other
Enumeration date
02/01/2017
Last updated
01/04/2021
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