Provider Demographics
NPI:1609077742
Name:STREBECK, ADAM L (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:L
Last Name:STREBECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51434
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:SC
Mailing Address - Zip Code:29673-2050
Mailing Address - Country:US
Mailing Address - Phone:256-386-4505
Mailing Address - Fax:601-703-6731
Practice Address - Street 1:1300 S MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-6334
Practice Address - Country:US
Practice Address - Phone:256-386-4505
Practice Address - Fax:256-314-6120
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.29632207ZP0101X
MS19608207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology