Graduated: 2017
NPI: 1053899682
Practice Locations (2)
THE LONGSTREET CLINIC, PC
1270 FRIENDSHIP RD
BRASELTON, GA 305175608
7705336511
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7702975700
Source: CMS National Downloadable File, September 2026.