Organization · Type 2 NPI
Virginia Center for Addiction Medicine
Addiction Medicine (Internal Medicine) Physician · Glen Allen, VA
Practice location
4212 Park Place Ct
Glen Allen, VA 23060-3314
Fax (804) 728-1086
Other practice locations
- 7280 York Ave, Gloucester, VA 23061-5181 · (804) 332-5950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | 0101246355 (VA) |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 0101015030 (VA) |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
8 other providers at this address
- Brittany Ilagan Hall, AGNP-CPrimary Care Nurse Practitioner Glen Allen, VA NPI 1932871472
- James Edward Thompson, MDInternal Medicine Physician Glen Allen, VA NPI 1194913533
- Justin Jackson, LPCProfessional Counselor Glen Allen, VA NPI 1235788902
- Katherine Louise Haskins, LPC, NCCProfessional Counselor Glen Allen, VA NPI 1033983077
- Kira Marie Bleecher, MDPsychiatry Physician Glen Allen, VA NPI 1164868469
- Marci Lynn Waggoner, NPAdult Health Nurse Practitioner Glen Allen, VA NPI 1164884714
- Mary Elizabeth Bowman, ACNP-BCAcute Care Nurse Practitioner Glen Allen, VA NPI 1770869406
- Melody L. Irby, PA-CMedical Physician Assistant Glen Allen, VA NPI 1467601278
About NPI 1477091247
Virginia Center for Addiction Medicine's National Provider Identifier is 1477091247, issued on Feb 1, 2017. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Glen Allen, VA. The record was last updated on Jan 4, 2021.