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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) 767-6010
Entity
Organization

Contact information

Practice address
921 E. MAIN STREET , SUITE A, PURCELLVILLE, VA 20132-3133
(540) 338-6994
(540) 662-6903
Mailing address
224 D CORNWALL STREET NW, STE 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
04/14/2023
Last updated
04/14/2023
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