TREVOR F EZZELL

THE LONGSTREET CLINIC, PC

Dr TREVOR F EZZELL is a male medical professional, specializing in Nurse Practitioner. He graduated in 2008.

Contact

THE LONGSTREET CLINIC, PC

725 JESSE JEWELL PKWY
SUITE 150
GAINESVILEL
GA
305013834

Tel: 7702975700

TREVOR F EZZELL Information

Npi 1780847699
Pac Id 6406921733
Professional Enrollment Id I20080820000463
Last Name EZZELL
First Name TREVOR
Middle Name F
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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