| NPI | 1518787142 |
|---|---|
| Other Name | ASCENSION SAINT AGNES PRIMARY CARE ELLICOTT CITY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM B HIGGINBOTHAM President/CEO 667-234-3162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-31 |