Individual
WILLIAM C STREETMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
470 TAYLOR ROAD,, SUITE 202, MONTGOMERY, AL 36117-3532
(334) 244-6773
(334) 244-4234
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
001316
GA
208600000X
Surgery Physician
MD.203569
LA
208600000X
Surgery Physician
Primary
MD.33601
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111789A
—
GA
01
—
137444
MEDICAID/AL
AL
05
—
168125
—
AL
05
—
2107879
—
LA
01
—
52525021-001
BCBS/GA
GA
Enumeration date
01/25/2008
Last updated
01/06/2023
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