| Loudoun Endoscopy Group, Llc | |
|
19455 Deerfield Ave Ste 212 Lansdowne VA 20176-8102 | |
| (703) 724-9792 | |
| (703) 858-7310 |
| Full Name | Loudoun Endoscopy Group, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 19455 Deerfield Ave Ste 212, Lansdowne, Virginia |
| Authorized Official Name and Position | Aimee Cathleen Judy (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 9017374665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Endoscopy Group, Llc 65 Germantown Ct Ste 300 Cordova TN 38018-4258 Ph: (901) 737-4665 | Loudoun Endoscopy Group, Llc 19455 Deerfield Ave Ste 212 Lansdowne VA 20176-8102 Ph: (703) 724-9792 |
| NPI Number | 1801962741 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 05/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801962741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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