Graduated: 2018
NPI: 1194283531
Practice Locations (2)
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7702975700
THE LONGSTREET CLINIC, PC
4222 FAIRBANKS DR
OAKWOOD, GA 305662811
7705346053
Source: CMS National Downloadable File, September 2026.