Individual
MELISSA FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 PRICE HAIRSTON ST, MARTINSVILLE, VA 24112-1793
(276) 336-5635
Mailing address
625 PRICE HAIRSTON ST, MARTINSVILLE, VA 24112-1793
(276) 336-5635
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T63328836
VA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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