Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1871516930
Practice Locations (2)
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013756
7702975700
THE LONGSTREET CLINIC, PC
655 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013854
7705336511
Source: CMS National Downloadable File, September 2026.