Individual
PETER LEIGH LONGSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 522-5550
(864) 455-8981
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301095655
MI
2084P0800X
Psychiatry Physician
Primary
52617
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526176
—
SC
Enumeration date
03/07/2007
Last updated
06/15/2022
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