Graduated: 2001
NPI: 1972569119
Practice Locations (2)
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
7705336511
NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
725 JESSE JEWELL PKWY SE, SUITE 110
GAINESVILLE, GA 305013836
7705350191
Source: CMS National Downloadable File, September 2026.