Graduated: 1986
NPI: 1730365784
Practice Locations (2)
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7705336511
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
4222 FAIRBANKS DR
OAKWOOD, GA 305662811
7702975700
Source: CMS National Downloadable File, September 2026.