Graduated: 2003
NPI: 1235391533
Practice Locations (2)
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
1270 FRIENDSHIP RD
BRASELTON, GA 305175630
7702975700
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7705336511
Source: CMS National Downloadable File, September 2026.