Graduated: 1994
NPI: 1306816467
Practice Locations (3)
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
THE LONGSTREET CLINIC, PC
4222 FAIRBANKS DR
OAKWOOD, GA 305662811
7705346053
Source: CMS National Downloadable File, September 2026.