Dr EILEEN DALMACIO JAVELLANA is a female medical professional, specializing in Internal Medicine. She graduated in 1995 from Wayne State University School Of Medicine.
THE LONGSTREET CLINIC, PC
725 JESSE JEWELL PKWY
SUITE 150
GAINESVILEL
GA
305013834
Tel: 7702975700
| Npi | 1003896952 |
| Pac Id | 7517925761 |
| Professional Enrollment Id | I20100827000819 |
| Last Name | JAVELLANA |
| First Name | EILEEN |
| Middle Name | DALMACIO |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
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| Organization Legal Name | THE LONGSTREET CLINIC, PC |
| Group Practice Pac Id | 2668465733 |
| Number Of Group Practice Members | 121 |
| Line 1 Street Address | 725 JESSE JEWELL PKWY |
| Line 2 Street Address | SUITE 150 |
| Marker Of Address Line 2 Suppression | |
| City | GAINESVILEL |
| State | GA |
| Zip Code | 305013834 |
| Phone Number | 7702975700 |
| Hospital Affiliation Ccn 1 | 110029 |
| Hospital Affiliation Lbn 1 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
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| Professional Accepts Medicare Assignment | Y |
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