Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Loudoun Medical Group, Loudoun Medical Group PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
HEATHER STANTON (CREDENTIALING MANAGER)
(703) 737-6012
Entity
Organization
Contact information
Practice address
7430 HERITAGE VILLAGE PLZ UNIT 101, GAINESVILLE, VA 20155-3089
(703) 753-3338
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6012
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/18/2023
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