# LOUDOUN MEDICAL GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUDOUN MEDICAL GROUP, PC
- **Other names:** Leesburg Sterling Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629520531
- **Legal business name:** LOUDOUN MEDICAL GROUP, PC
- **Authorized official:** MARY BETH TAMASY (CEO)
- **Authorized official phone:** (703) 737-6010

## Contact information

- **Practice address:** 24430 STONE SPRINGS BLVD, SUITE 135, DULLES, VA 20166-2269
- **Practice address phone:** (703) 957-1255
- **Practice address fax:** (703) 665-2375
- **Mailing address:** 224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
- **Mailing address phone:** (703) 737-6010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 04/24/2023