| Ascension Saint Agnes Primary Care Elkridge | |
|
6518 Meadowridge Rd Ste 110 Elkridge MD 21075-6458 | |
| (667) 234-8650 | |
| Not Available |
| Full Name | Ascension Saint Agnes Primary Care Elkridge |
|---|---|
| Speciality | Internal Medicine |
| Location | 6518 Meadowridge Rd Ste 110, Elkridge, Maryland |
| Authorized Official Name and Position | William B Higginbotham (PRESIDENT/CEO) |
| Authorized Official Contact | 6672343162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Saint Agnes Primary Care Elkridge 6518 Meadowridge Rd Ste 110 Elkridge MD 21075-6458 Ph: (667) 234-8650 | Ascension Saint Agnes Primary Care Elkridge 6518 Meadowridge Rd Ste 110 Elkridge MD 21075-6458 Ph: (667) 234-8650 |
| NPI Number | 1083434617 |
|---|---|
| Provider Enumeration Date | 10/17/2024 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083434617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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