Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Virginia Center for Addiction Medicine

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1477091247

Virginia Center for Addiction Medicine is an Addiction Medicine (Internal Medicine) Physician in Glen Allen, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4212 Park Place Ct
Glen Allen, VA 23060-3314
Phone: (804) 332-5950
Fax: (804) 728-1086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7280 York Ave, Gloucester, VA 23061-5181 — (804) 332-5950

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence 0101246355 (VA)
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X · Licence 0101015030 (VA)

Record details

NPI number1477091247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Thompson — Cmo · (804) 332-5950
Other names Master Center For Addiction Medicine
NPI enumeratedFebruary 1, 2017
Last updated in NPPESJanuary 4, 2021
Certification dateJanuary 4, 2021
Mailing address4212 Park Place Ct, Glen Allen, VA 23060-3314

Other providers in Glen Allen