# LOUDOUN MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUDOUN MEDICAL GROUP, PC
- **Other names:** United Spine and Joint Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457028342
- **Legal business name:** LOUDOUN MEDICAL GROUP, PC
- **Authorized official:** MARY BETH TAMASY (CEO)
- **Authorized official phone:** (703) 737-6010

## Contact information

- **Practice address:** 44055 RIVERSIDE PARKWAY, SUITE 216, LEESBURG, VA 20176-5176
- **Practice address phone:** (703) 840-0665
- **Practice address fax:** (571) 346-1924
- **Mailing address:** 224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
- **Mailing address phone:** (703) 737-6010
- **Mailing address fax:** (703) 443-8643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 08/27/2021
- **Last updated:** 08/18/2023