Individual
MR. JOHN R STRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
PO BOX 246, 412 DURANT STREET, SOUTH HILL, VA 23970-0246
(434) 447-2898
(434) 447-3456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-034692
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006094309
—
VA
01
—
087971
BLUECROSS/BLUESHIELD
VA
01
—
290001539
R.R. MEDICARE
VA
01
—
43144
SENTERA/OPTIMA
VA
01
—
890574K
MEDICAID
NC
Enumeration date
08/02/2005
Last updated
01/02/2018
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