Individual
GREGORY SCOTT STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 LEE STREET, CHARLOTTESVILLE, VA 22908-0816
(434) 243-6868
(434) 243-2916
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275685
VA
Other
Enumeration date
03/28/2019
Last updated
08/11/2023
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