| NPI | 1336863844 |
|---|---|
| Doing Business As | SHADY GROVE SURGICENTER |
| Entity Type | Organization |
| Authorized Contact | ALI AL-ATTAR Managing Director 703-888-2034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-04-27 |