Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Orthopedic & Spine 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 305, BALTIMORE, MD 21229-5218
(410) 368-9992
Mailing address
3449 WILKENS AVE STE 305, BALTIMORE, MD 21229-5218
(410) 368-9992
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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