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Organization
LOUDOUN MEDICAL GROUP, PC
Active
Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Prince William Foot and Ankle Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARY BETH TAMASY (CEO)
(703) 737-6010
Entity
Organization
Contact information
Practice address
7430 HERITAGE VILLAGE SUITE 101, GAINESVILLE, VA 20155-3089
(703) 753-3338
(703) 753-7870
Mailing address
224-D CORNWALL STREET, NW., SUITE 403, LEESBURG, VA 20176-1334
(703) 737-6010
(703) 443-2690
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/24/2010
Last updated
04/28/2023
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