| NPI | 1376231381 |
|---|---|
| Doing Business As | RANDOLPH-MACON COLLEGE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN BAUBY Office Director 804-752-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |