Loudoun Medical Group, PC

NPI #1184915597 in Broadlands, Virginia

Provider Information

NPI Number: 1184915597
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Family Medicine
Enumeration Date: Apr 20, 2011
Last Updated: Apr 24, 2023

Practice Location

Address: 43300 SOUTHERN WALK PLAZA, SUITE 100
City: Broadlands
State: Virginia
ZIP Code: 20148-4463
Phone: (571) 252-7353

Authorized Official

Name: MARY BETH TAMASY
Title: CEO
Phone: (703) 737-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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