Loudoun Medical Group, PC

NPI #1639542160 in Fairfax, Virginia

Provider Information

NPI Number: 1639542160
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: Nov 5, 2015
Last Updated: Aug 18, 2023

Practice Location

Address: 3911 OLD LEE HWY
Address 2: SUITE 41-C
City: Fairfax
State: Virginia
ZIP Code: 22030-2434
Phone: (703) 317-9500

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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