Graduated: 2021
NPI: 1760158448
Practice Locations (2)
THE LONGSTREET CLINIC, PC
4222 FAIRBANKS DR
OAKWOOD, GA 305662811
7705346053
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
4222 FAIRBANKS DR
OAKWOOD, GA 305662811
7702975700
Source: CMS National Downloadable File, September 2026.