Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Colorectal 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
6740 ALEXANDER BELL DR STE 303, COLUMBIA, MD 21046-2248
(410) 695-9950
Mailing address
6740 ALEXANDER BELL DR STE 303, COLUMBIA, MD 21046-2248
(410) 695-9950
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
12/23/2024
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