# SETON MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASCENSION HEALTH
- **Other names:** Ascension Saint Agnes OBGYN Columbia
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841011475
- **Legal business name:** ASCENSION HEALTH
- **Authorized official:** MR. WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
- **Authorized official phone:** (667) 234-3162

## Contact information

- **Practice address:** 6740 ALEXANDER BELL DR, SUITE 200, COLUMBIA, MD 21046-2253
- **Practice address phone:** (410) 997-8444
- **Mailing address:** 6740 ALEXANDER BELL DR, SUITE 200, COLUMBIA, MD 21046-2253
- **Mailing address phone:** (410) 997-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |

## Other

- **Enumeration date:** 10/17/2024
- **Last updated:** 10/31/2024