Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Loudoun Medical Group, PC DME
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
19440 GOLF VISTA PLAZA, SUITE 120, LEESBURG, VA 20176-8264
(703) 858-7887
Mailing address
224-D CORNWALL ST., NW, SUITE 403, LEESBURG, VA 20176-1334
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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