Loudoun Medical Group, PC

NPI #1265298699 in Aldie, Virginia

Provider Information

NPI Number: 1265298699
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: Feb 23, 2024
Last Updated: Mar 21, 2024

Practice Location

Address: 24585 STONE CARVER DRIVE, SUITE 200
City: Aldie
State: Virginia
ZIP Code: 20105-3257
Phone: (571) 367-3218

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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