MEDICARE: ADVANCED MEDICAL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1336602309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL CARE

Provider Business Mailing Address
First Line	:	107 N BRUNSWICK AVE
Second Line	:
City	:	SOUTH HILL
State	:	VA
Zip	:	23970-1909
Country	:	US
Telephone Number	:	434-447-8996
Fax Number	:	434-955-2582

Provider Business Practice Location Address
First Line	:	107 N BRUNSWICK AVE
Second Line	:
City	:	SOUTH HILL
State	:	VA
Zip	:	23970-1909
Country	:	US
Telephone Number	:	434-447-8996
Fax Number	:	434-955-2582

Authorized Official
Title or Position	:	OWNER
Name	:	RONALD HOWARD HERRSCHE
Credential	:	DO
Telephone Number	:	434-447-8996

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	04/08/2019

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Directions to “ADVANCED MEDICAL CARE ” Practice Location

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