Organization
SETON MEDICAL GROUP, INC
Active
Parent organization
ASCENSION HEALTH
Other names
Ascension Saint Agnes OBGYN Columbia
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, SUITE 200, COLUMBIA, MD 21046-2253
(410) 997-8444
Mailing address
6740 ALEXANDER BELL DR, SUITE 200, COLUMBIA, MD 21046-2253
(410) 997-8444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
Other
Enumeration date
10/17/2024
Last updated
10/31/2024
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