Individual
JAMES EDWARD THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
207R00000X
Internal Medicine Physician
Primary
0010124635
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0101246355
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0010124635
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194913533
—
VA
Enumeration date
10/11/2007
Last updated
08/13/2020
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