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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 OBGYN COLUMBIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
WILLIAM B HIGGINGBOTHAM (PRESIDENT/CEO)
(667) 234-3162
Entity
Organization
Contact information
Practice address
6740 ALEXANDER BELL DR STE 101, COLUMBIA, MD 21046-2248
(410) 644-2582
(410) 644-6232
Mailing address
6740 ALEXANDER BELL DR STE 101, COLUMBIA, MD 21046-2248
(410) 644-2582
(410) 644-6232
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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