Provider Demographics
NPI:1972621118
Name:J. ANDERSON THOMSON, JR., M.D.,P.C
Entity Type:Organization
Organization Name:J. ANDERSON THOMSON, JR., M.D.,P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:THOMSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:434-296-2801
Mailing Address - Street 1:2 BOARS HEAD PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4677
Mailing Address - Country:US
Mailing Address - Phone:434-296-2801
Mailing Address - Fax:434-296-2801
Practice Address - Street 1:2 BOARS HEAD PL
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4677
Practice Address - Country:US
Practice Address - Phone:434-296-2801
Practice Address - Fax:434-296-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2015-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-0256562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAGC1073Medicare PIN