# VIRGINIA CENTER FOR ADDICTION MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Master Center for Addiction Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477091247
- **Authorized official:** JAMES EDWARD THOMPSON M.D. (CMO)
- **Authorized official phone:** (804) 332-5950

## Contact information

- **Practice address:** 4212 PARK PLACE CT, GLEN ALLEN, VA 23060-3314
- **Practice address phone:** (804) 332-5950
- **Practice address fax:** (804) 728-1086
- **Mailing address:** 4212 PARK PLACE CT, GLEN ALLEN, VA 23060-3314
- **Mailing address phone:** (804) 332-5950
- **Mailing address fax:** (804) 728-1086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 0101246355 | VA | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 0101015030 | VA | — |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 01/04/2021