Graduated: 1998
NPI: 1184662280
Practice Locations (2)
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7705336511
THE LONGSTREET CLINIC, PC
743 SPRING ST NE
GAINESVILLE, GA 305013715
7705336511
Source: CMS National Downloadable File, September 2026.