Graduated: 2022
NPI: 1346931490
Practice Locations (2)
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
Source: CMS National Downloadable File, September 2026.