Organization
LOUDOUN MEDICAL GROUP, PC
Active
Parent organization
LOUDOUN MEDICAL GROUP, PC
Other names
Center for Spinal Surgery & Spinal Disorders
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
19450 DEERFIELD AVENUE, SUITE 200, LEESBURG, VA 20176-6821
(703) 777-1553
(703) 777-5524
Mailing address
224D CORNWALL STREET, NW,, STE 403, LEESBURG, VA 20176-2700
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
04/24/2023
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