NPI | 1356462451 |
---|---|
Doing Business As | SHADY GROVE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | COLLEEN SWINTON Director, Credentialing 301-257-2797 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2007-04-03 |
Last Update Date | 2025-01-09 |