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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