Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1003896952
Practice Locations (2)
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7705336511
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7702975700
Source: CMS National Downloadable File, September 2026.