| Loudoun Medical Group, Pc | |
|
205 E. Hirst Road, Suite 200 Purcellville VA 20132-6601 | |
| (703) 737-6010 | |
| Not Available |
| Full Name | Loudoun Medical Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 205 E. Hirst Road, Suite 200, Purcellville, Virginia |
| Authorized Official Name and Position | Mary Beth Tamasy (CEO) |
| Authorized Official Contact | 7037376010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loudoun Medical Group, Pc 224-d Cornwall Street, Nw, Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Loudoun Medical Group, Pc 205 E. Hirst Road, Suite 200 Purcellville VA 20132-6601 Ph: (703) 737-6010 |
| NPI Number | 1750093670 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 12/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750093670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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