Graduated: 1991
NPI: 1942284120
Practice Locations (4)
THE LONGSTREET CLINIC, PC
801 AUSTIN DR
DEMOREST, GA 305354513
7705336511
THE LONGSTREET CLINIC, PC
835 AUSTIN DR
DEMOREST, GA 305354513
7067548518
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
835 AUSTIN DR
DEMOREST, GA 305354513
7067548066
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7705336511
Source: CMS National Downloadable File, September 2026.