1053422428 THE LONGSTREET CLINIC PC
Prosthetic/Orthotic Supplier
Active
Basic Information
- Organization Name
- THE LONGSTREET CLINIC PC
- Enumeration Date
- August 31, 2006
- Last Update
- April 11, 2024
- Authorized Official
- AMELIA LOWE COLLINS
CEO
Phone: (770) 718-1122
Practice Location
- Address
- 725 JESSE JEWELL PKWY SE STE 395
GAINESVILLE, GA 305013834 - Phone
- (770) 533-6680
- Fax
- (770) 533-6681
Mailing Address
- Address
- PO BOX 658
GAINESVILLE, GA 305030658 - Phone
- (770) 718-1122
- Fax
- (770) 535-7445
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pharmacy | 333600000X | Pharmacy | N/A | N/A | No |
| Prosthetic/Orthotic Supplier | 335E00000X | Prosthetic/Orthotic Supplier | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154222 | 01 | N/A | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 439568713B | 05 | GA | N/A |
| 439568713A | 05 | GA | N/A |
Frequently Asked Questions
What is THE LONGSTREET CLINIC PC's NPI number?
THE LONGSTREET CLINIC PC's NPI number is 1053422428.
Which doctor has NPI number 1053422428?
The doctor with NPI number 1053422428 is THE LONGSTREET CLINIC PC.
What is THE LONGSTREET CLINIC PC's practice address?
THE LONGSTREET CLINIC PC's practice address is 725 JESSE JEWELL PKWY SE STE 395, GAINESVILLE, GA, 305013834.
Which doctor practices at 725 JESSE JEWELL PKWY SE STE 395, GAINESVILLE, GA, 305013834?
THE LONGSTREET CLINIC PC practices at 725 JESSE JEWELL PKWY SE STE 395, GAINESVILLE, GA, 305013834.
What is THE LONGSTREET CLINIC PC's mailing address?
THE LONGSTREET CLINIC PC's mailing address is PO BOX 658, GAINESVILLE, GA, 305030658.
What is THE LONGSTREET CLINIC PC's phone number?
THE LONGSTREET CLINIC PC's phone number is (770) 533-6680.
Who is (770) 533-6680?
(770) 533-6680 is the phone number for THE LONGSTREET CLINIC PC.
What is THE LONGSTREET CLINIC PC's specialty?
THE LONGSTREET CLINIC PC's specialty is Prosthetic/Orthotic Supplier.
What type of doctor is THE LONGSTREET CLINIC PC?
THE LONGSTREET CLINIC PC is a Prosthetic/Orthotic Supplier.
Is THE LONGSTREET CLINIC PC a Prosthetic/Orthotic Supplier?
Yes, THE LONGSTREET CLINIC PC is a Prosthetic/Orthotic Supplier.
Is THE LONGSTREET CLINIC PC still practicing?
Yes, THE LONGSTREET CLINIC PC is currently practicing.
Is THE LONGSTREET CLINIC PC accepting new patients?
THE LONGSTREET CLINIC PC may be accepting new patients. Please call their office at (770) 533-6680 to inquire about availability.
Is NPI 1053422428 still active?
Yes, NPI 1053422428 is currently active.
Where does THE LONGSTREET CLINIC PC practice?
THE LONGSTREET CLINIC PC practices in GAINESVILLE, GA.