Organization
ST. AGNES HEALTHCARE, INC.
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes Imaging Eldersburg
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
6300 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6481
(667) 234-8675
(667) 234-8688
Mailing address
6300 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6481
(667) 234-8675
(667) 234-8688
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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