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 |