Healthcare Provider Details

I. General information

NPI: 1740363027
Provider Name (Legal Business Name): SOUTH HILL INTERNAL MEDICINE AND CRITICAL CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 DURANT ST
SOUTH HILL VA
23970-1614
US

IV. Provider business mailing address

PO BOX 246
SOUTH HILL VA
23970-0246
US

V. Phone/Fax

Practice location:
  • Phone: 434-447-6491
  • Fax: 434-447-6491
Mailing address:
  • Phone: 434-447-6491
  • Fax: 434-447-3456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number StateVA

VIII. Authorized Official

Name: DR. JOHN ROBERT STRUNK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 434-447-6491