| Loudoun Medical Group, Pc | |
|
43300 Southern Walk Plaza, Suite 100 Broadlands VA 20148-4463 | |
| (571) 252-7353 | |
| (571) 252-7353 |
| Full Name | Loudoun Medical Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 43300 Southern Walk Plaza, Suite 100, Broadlands, 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 224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6001 | Loudoun Medical Group, Pc 43300 Southern Walk Plaza, Suite 100 Broadlands VA 20148-4463 Ph: (571) 252-7353 |
| NPI Number | 1184915597 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184915597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Act Fast Urgent Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43150 Broadlands Center Plz, Suite 184, Broadlands, VA 20148 Phone: 703-723-7110 Fax: 703-723-7112 |