Individual
AMELIA NICOLE FITZHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
30 WASHINGTON AVE, WASHINGTON AND LEE UNIVERSITY, LEXINGTON, VA 24450
(540) 458-8486
Mailing address
72 TRIMMER TRL, LEXINGTON, VA 24450-3396
(513) 310-1704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
888
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050702128
BOC CERTIFICATION
—
Enumeration date
10/14/2008
Last updated
10/14/2008
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