Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
LMG GI Endoscopy Center of Northern Virginia
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
4660 KENMORE AVENUE, SUITE 100, ALEXANDRIA, VA 22304-1306
(703) 751-5763
Mailing address
224-D CORNWALL STREET, NW., SUITE 403, LEESBURG, VA 20176
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
06/19/2023
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