Graduated: 2015
NPI: 1942683941
Practice Locations (2)
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
835 AUSTIN DR
DEMOREST, GA 305354513
7067548066
THE LONGSTREET CLINIC, PC
4222 FAIRBANKS DR
OAKWOOD, GA 305662811
7705346053
Source: CMS National Downloadable File, September 2026.