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Organization

LOUDOUN MEDICAL GROUP, PC

Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Jeffrey K,. Nekoba, M.D.
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOUDOUN MEDICAL GROUP, PC
Authorized official
MARY BETH A TAMASY (CEO)
(703) 737-6010
Entity
Organization

Contact information

Practice address
7489 HUNTSMAN BOULEVARD, SPRINGFIELD, VA 22153-1648
(571) 642-1460
(703) 440-1203
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/17/2009
Last updated
11/15/2023
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