Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Urogynecology
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 AVENUE, SUITE 300, BALTIMORE, MD 21229-5218
(667) 234-6885
Mailing address
3449 WILKENS AVENUE, SUITE 300, BALTIMORE, MD 21229-5218
(667) 234-6885
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/31/2024
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