Healthcare Provider Details

I. General information

NPI: 1811983596
Provider Name (Legal Business Name): JOHN CHRISTOPHER STRUNK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 REGENCY CT
DOTHAN AL
36305-1179
US

IV. Provider business mailing address

PO BOX 8308
DOTHAN AL
36304-0308
US

V. Phone/Fax

Practice location:
  • Phone: 334-673-8869
  • Fax: 334-673-8851
Mailing address:
  • Phone: 334-673-8869
  • Fax: 334-673-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number26085
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD0000057182
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number77238
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME10550
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number26085
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number77238
License Number StateGA
# 7
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberME10550
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number00026085
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: