# LOUDOUN MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUDOUN MEDICAL GROUP, PC
- **Other names:** Kingstowne Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356907612
- **Legal business name:** LOUDOUN MEDICAL GROUP, PC
- **Authorized official:** MARY BETH TAMASY (CEO)
- **Authorized official phone:** (703) 737-6010

## Contact information

- **Practice address:** 5901 KINGSTOWNE VILLAGE PARKWAY, SUITE 300, KINGSTOWNE, VA 22315-5883
- **Practice address phone:** (571) 384-6304
- **Practice address fax:** (571) 384-6309
- **Mailing address:** 224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
- **Mailing address phone:** (703) 737-6001
- **Mailing address fax:** (703) 443-8643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2019
- **Last updated:** 08/18/2023