| NPI | 1881583730 |
|---|---|
| Doing Business As | LONGSTREET OF NGHS |
| Entity Type | Organization |
| Authorized Contact | KAREN L REYER Director, Cbo 770-219-8051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-08-14 |