Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Foot & 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
107 TAVERN ROAD, MARTINSBURG, WV 25401-2841
(304) 267-4282
Mailing address
224-D CORNWALL STREET, NW., SUITE 403, LEESBURG, VA 20176
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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