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Contact Information

THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA30501-3834
 Phone: 770-718-1122
 Fax: 770-533-4786
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THE LONGSTREET CLINIC, PC

NPI Number 1326019977
LBN Legal business name THE LONGSTREET CLINIC, PC
Authorized official AMELIA COLLINS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2006
Last updated 05/27/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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