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Organization
SETON MEDICAL GROUP, INC
Active
Organization
SETON MEDICAL GROUP, INC
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
(667) 234-3162
Entity
Organization
Contact information
Practice address
6740 ALEXANDER BELL DR STE 300, COLUMBIA, MD 21046-2248
(410) 564-0000
(410) 566-4003
Mailing address
6740 ALEXANDER BELL DR STE 300, COLUMBIA, MD 21046-2248
(410) 564-0000
(410) 566-4003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2007
Last updated
11/13/2024
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