Organization
RANDOLPH-MACON COLLEGE
Active
Other names
Randolph-Macon College Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER LYNN BAUBY LAT (OFFICE DIRECTOR)
(804) 752-3215
Entity
Organization
Contact information
Practice address
304 HENRY ST, ASHLAND, VA 23005-1647
(804) 752-3215
Mailing address
304 HENRY ST, ASHLAND, VA 23005-1647
(804) 752-3215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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