I've now been to the Exchange Hotel and Medical Museum on two occasions. Once for the tour, and I found the history and events that occurred there absolutely fascinating. The guides and employees were wonderful to talk to - they are all very knowledgeable about the place, and can tell you different interesting tidbits of information.
The second time I went was for a ghost hunt where we spent most of the night there and experienced what is rated the 2nd most haunted place in Virginia. Very fun evening, and again, a lot of fascinating history and an all around great time. Would return again for sure, and highly recommend it for a visit!
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