Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Orthopedic Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASCENSION HEALTH
Authorized official
MR. WILLIAM B HIGGINBOTHAM (PRESIDENT/CEO)
(667) 234-3162
Entity
Organization
Contact information
Practice address
3449 WILKENS AVE STE 205, BALTIMORE, MD 21229-5217
(410) 368-4851
Mailing address
3449 WILKENS AVE STE 205, BALTIMORE, MD 21229-5217
(410) 368-4851
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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