| NPI | 1063105823 | 
|---|---|
| Doing Business As | SHADY GROVE WOMAN'S CENTER | 
| Entity Type | Organization | 
| Authorized Contact | FRAN LINFORD Senior Provider Network Analyst 301-315-3826  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology | 
| Enumeration Date | 2023-05-30 | 
| Last Update Date | 2024-05-02 |